Specialization within Medicine as well as within Orthopaedics has rap-idly expanded in the last thirty years. Trauma, in essence, is the backbone of our profession, and fractures constitute a large percentage of the afflictions of the muscu-loskeletal system treated by the orthopaedist. Orthopaedics was rapidly drifting in a direction where technical skills were replacing biological considerations so rapidly that it was reaching an undesirable degree. This trend has resulted in the growing perception that Orthopaedics is no longer a clearly defined body of scientific knowledge but a series of surgical procedures. The author offer a review of problems con-nected on this imposition on the society: barriers, inconvenients, obligation to do it, and the role of generalist.

Specialization within Medicine as well as within Orthopaedics has rap-idly expanded in the last thirty years. Trauma, in essence, is the backbone of our profession, and fractures constitute a large percentage of the afflictions of the muscu-loskeletal system treated by the orthopaedist. Orthopaedics was rapidly drifting in a direction where technical skills were replacing biological considerations so rapidly that it was reaching an undesirable degree. This trend has resulted in the growing perception that Orthopaedics is no longer a clearly defined body of scientific knowledge but a series of surgical procedures. The author offer a review of problems con-nected on this imposition on the society: barriers, inconvenients, obligation to do it, and the role of generalist.