I became involved with NASS after developing an innovative bone graft for spinal fusion. Attending the annual meetings has deepened my understanding of clinical needs and the advantages and limitations of the various bone graft technologies surgeons use in daily practice. Compared with hardware such as screws and cages, the choice of bone graft often receives less attention, despite its critical role in achieving a solid bony fusion. I am therefore committed to helping surgeons better understand the differences among bone graft options, including their mechanisms of action, and to emphasizing the importance of robust clinical evidence over unsubstantiated marketing claims.