In this episode of the AIS Channel podcast, Dr. Luis Felipe Cabrera Vargas interviews Dr. Herbert Chen, a prominent figure in academic surgery, to explore the meaning and responsibilities of presiding over a surgical association. Dr. Chen describes the presidency as a great honor, a recognition bestowed by one's peers based on contributions and demonstrated leadership. He posits that surgeons are natural leaders, accustomed to guiding teams in the operating room, patient care, and research, making the transition to an organizational leadership role a logical step. The conversation delves into the president's functions, which include setting a vision for the organization, proposing initiatives, and guiding the society during their term. It is highlighted that the objectives are typically organizational in nature, such as increasing membership or the society's influence, rather than focusing on specific technologies. Finally, the discussion turns to what it takes to become president. Dr. Chen emphasizes that there is no single profile; rather, the most crucial factor is a long-term commitment to the organization, demonstrated through continuous service on committees, reliability, and the ability to work collaboratively. The episode concludes that the path to the presidency is built on a foundation of dedicated service and consistent leadership.