Get a scalpel, and practice just, say, cutting a piece of meat or something like that. You sort of learn how you want to hold your fingers, and that sort of thing, and try to become graceful when you operate.

Of the many 'firsts' with which I have been involved at the Texas Heart Institute —including the first successful human heart transplant in the United States and the first total artificial heart transplant in the world—the achievement that may have the greatest impact on health care did not occur in the operating room or in the research laboratory. It happened on a piece of paper... when we created the first-ever packaged pricing plan for cardiovascular surgical procedures.

I've always thought that my exposure to competitive sports helped me a great deal in the operating room. It teaches you endurance, and it teaches you how to cope with defeat, and with complications of all sort. I think I'm a well-coordinated person, more than average, and I think that came through my interest in sports, and athletics... Playing basketball you have to make decisions promptly, and that's true in the operating room as well.

I've always felt that I did well as a student because I lacked confidence.

So much goes into doing a transplant operation. All the way from preparing the patient, to procuring the donor. It's like being an astronaut. The astronaut gets all the credit, he gets the trip to the moon, but he had nothing to do with the creation of the rocket, or navigating the ship. He's the privileged one who gets to drive to the moon. I feel that way in some of these more difficult operations, like the heart transplant.

Get a scalpel, and practice just, say, cutting a piece of meat or something like that. You sort of learn how you want to hold your fingers, and that sort of thing, and try to become graceful when you operate.

I think work is a privilege. ... It keeps you alive, spiritually.