The Loma Linda University Surgery Residency has several areas of focus: · An International rotation to Malawi that all PGY4 residents go on as a matter of routine. The program pays for and arranges all of the details. It is by far the highest rated rotation in the residency. · Outstanding robotic surgical experience, including a robotic curriculum. · A dedicated surgical simulation laboratory. · Excellent case volumes. Every resident has had far more than the required number in every ACGME case subcategory for more than a decade. · No citations from ACGME for more than 2 decades. · Our resident subspecialization rate is approximately 75%. Top fellowships are: surgical oncology, pediatric surgery, vascular surgery, surgical critical care, minimally invasive surgery. · 100% of our graduates are board certified over the last two decades.