The definition of insanity is described as doing the same thing over and over and expecting a different result. We should know. We are surgeons, and we witness insanity on a regular basis when we operate on the victims of gun violence. These deaths are avoidable, and yet our elected leaders refuse to act.We are constantly reminded that all patients that we treat also represent a family who loves them, a community who has raised them, and a society that has failed to protect them. Commonsense gun legislation is not aimed at removing firearms from responsible, lawabiding Americans. Rather, commonsense gun policy is critical to prevent future senseless tragedies, to make our streets safer, and to finally remove one of the most unfortunate blemishes on our national character.In 1993, Kellermann et al 1 concluded that guns kept in the home are associated with increased homicide risk. The resulting Dickey Amendment, lobbied for by the National Rifle Association, single-handedly halted gun violence research for 2 decades.With recent high-profile, high-casualty mass shootings, gun violence policy has risen to the national spotlight. Fromacollectivefrustrationoverrepeatedtragedy,thestudent survivors of the Stoneman Douglas High School shootinghavebeenthesparkignitingtheheartsandminds of Americans in communities across this nation. These students' efforts have had an effect. The new 2018 Omnibus spending bill reframes the Dickey Amendment to state, "the CDC [Centers for Disease Control and Prevention] has the authority to conduct research on the causes of gun violence." 2[p23] A national effort to reduce the burden of gun violence willrequireustoactivelypromoteresearchincausesofgun violence and potential solutions in all age groups and demographics. Although antecedents to and risk factors for gun violence have been well characterized in medical literature, there is a major gap in research to design comprehensive and effective gun violence prevention strategies at the community level. 3 In addition, the effect of policies addressinggundesign,manufacturing,anddistributionon the access to and use of guns must be better elucidated across a gun's lifespan.More recent controversy has centered on 3dimensional printed guns, which have the potential to be untraceable and undetectable by metal detectors. Nineteen states are currently suing the State Department to ban distribution of 3-dimensional gun blueprints, which were briefly available online. 4 In cases such as these, surgeons can contribute to research efforts by