I became interested in the geriatric injury shortly after leaving the United States Navy. I was 34 years “young” and entered my first academic position in Tidewater, Virginia. Every year we would see a surge of older Americans seriously injured while vacationing or enjoying the milder climate of the eastern shores of Virginia and North Carolina. These elders were “different” and the information, especially in the standard surgical textbooks and the few trauma books of the day, did not mention any other special population except pediatrics. The first paper we published was on flail chest in the elderly, a small retrospective case study. It attempted to point out the dissimilarities of presentation, acute management, natural history, and poor outcomes of blunt high-energy chest trauma in the “old” vs. the young. Throughout my career, I have maintained an intellectual focus on this enlarging part of our practices.