On this episode I have a candid conversation with: Dror Paley, the founder of the Paley Orthopedic & Spine Institute in Florida, the Paley European Institute in Poland, and the Paley Institute Middle East in Abu Dhabi. He’s a pioneer in deformity correction and one of the surgeons who introduced the Ilizarov method to North America. In hip surgery, he developed the SUPER Hip procedure, along with more than a hundred other techniques.

But this episode isn’t about applause. It’s about ambition, controversy, and what it means to innovate in a field that often resists disruption.

We talked about the cost of leadership: how innovation can be mistaken for ego, how financial success can attract criticism, and how doing what’s right isn’t always what’s expected.

We explored brand building, the moral imperative behind patient care, and the obligation to advance the field itself. We discussed the challenges of being a disruptor and the complicated path to peer recognition.

On the clinical side, we covered complex hip reconstructions including the SUPER Hip, femoral head reduction osteotomy, and the so-called “extreme PAO.”

I asked him some hard questions: Where’s the line between surgical creativity and overreach? What scares him more: stagnation or automation?

We also talked about the future of limb reconstruction, the promise of regenerative medicine, and the potential of integrating what’s increasingly referred to as “One Medicine.”

This was a wide-ranging conversation with someone who’s changed the field and taken a few hits for it. I hope you find it as provocative and inspiring as I did.