2025 Southeastern Surgical Congress Presidential Address: Leadership and Innovation in Surgery: A Vision for the Future.

Surgeons have always been at the forefront of transformative change in medicine-driven by a unique blend of technical expertise, decisiveness, and visionary leadership. The current article explores the evolving role of the surgeon as not only a practitioner but as an innovator and change agent. Drawing on the rich legacy of the Southeastern Surgical Congress, this address honors the enduring impact of its past presidents whose forward-thinking leadership helped shape modern surgical practice-from groundbreaking procedural advancements to innovations in education, health care delivery, and advocacy. Surgery is entering an era of rapid technological progress. The advances occurring in artificial intelligence, robotics, precision medicine, and digital health are significant and will shape the way we provide care in the future. Because of this the need for engaged, ethical, and collaborative surgeon-leaders has never been greater. This address challenges the surgical community to embrace innovation not as a trend but as a responsibility, encouraging a culture that values curiosity, accountability, and long-term impact over short-term gains. Future leaders within the Southeastern Surgical Congress must champion innovation that improves patient care, expands patient access, and elevates our profession. The future of surgery will be defined by those willing to lead with vision, humility, and purpose-and the Southeastern Surgical Congress is poised to help shape that future.