y"Controversy is only dreaded by the advocates of error" Benjamin Rush "I have enough trouble closing a patent ductus, without creating one," remarked Dr. Robert Gross, a world-renowned surgeon who was the first to successfully close a patent ductus arteriosis (PDA). While remarkable in his own right, his response to Dr. Helen Taussig leads her to Drs. Alfred Blalock and Vivian Thomas in her pursuit of a surgical solution for her "blue babies." 1 Clearly, Dr. Gross was not afraid to tackle controversial surgeries, reportedly performing the first PDA closure as a surgical resident and purposely waiting until Dr. William Ladd, Chief of Surgery at Boston Children's Hospital who opposed the surgical approach, left for summer vacation. 2 To his own credit, Dr. Ladd was the first to demonstrate that surgical correction of intussusception was advantageous to enemas and should be pursued without delay. 3 Appropriately, we use the term pioneer to describe such persons