At a recent knee meeting, many interesting topics were discussed including preservation of the ACL remnant during reconstruction, graft selection, use of innovative synthetic or culture-grown grafts, and articular cartilage preservation or repair procedures [1‐3]. The research methodologies used were as diverse as the countries of origin of the participating surgeons and rehabilitation professionals. Despite obvious efforts to maintain scientific rigour, the impression instilled in us was that knee surgery will always be an art first and a science second.