Dr. Roger Hartl, Professor of Neurological Surgery and Director of Spinal Surgery at Weill Cornell Medicine as well as Neurosurgical Director, Och Spine at NewYork-Presbyterian, provides a glimpse into his journey, offers insights into his expertise in neurological surgery, developments in his field, and trends shaping the industry as we approach 2024. He delves into his mission work in Tanzania, discussing his proudest achievements and providing guidance for other surgeons eager to contribute to a cause.