The second surgical paper, by Favaloro and colleagues,2 is a clinical description of the outcomes of the first 100 patients in the world to undergo coronary artery bypass (CABG) during the late 1960s, as well as an overview of the techniques used at the Cleveland Clinic for this procedure. The patient age ranged from 26 to 69 years. Interestingly, most of the operations were performed “off pump,” as cardiopulmonary bypass (CPB) was only used for hemodynamic instability, even though all patients were routinely cannulated for CPB. The operative mortality was 5%, and the most common postoperative complications were atrial fibrillation (12%), myocardial infarction (7%), and reoperation for hemorrhage (3%). Fifty patients underwent repeat cardiac catheterization following the procedure at “various intervals.” Complete vein graft patency was found in 78%, with severe stenosis in 12% and occlusion in 10%. The authors describe their techniques of either interposition of the vein graft with excision of the diseased coronary segment or direct bypass of the coronary obstruction with the proximal anastamosis coming from the ascending aorta, noting that the latter technique was preferred due to its reduced operative time.