The Annals of Surgical Oncology is in its 17th year of publication. As the journal has matured, it has become the most cited surgical oncology journal published and has been adopted as the venue for communicating new knowledge by surgeons all over the world. Manuscript submissions have increased by 65% between 2007 and 2009, the majority (70%) of which now originate from outside the United States (Fig. 1).1 The Annals is also the primary resource for surgeons practicing in the United States, both in academic and community practice settings, because it is read by all members of the Society of Surgical Oncology (the majority of whom are in an academic practice) and the American Society of Breast Surgeons (the majority of whom are in a community-based practice). The Annals has also become an official journal with surgical and oncology societies in Europe, Latin America, and Africa. Thus, the readership and authorship constituency of the Annals of Surgical Oncology now reaches across the globe—both in print and electronically—for surgeons treating patients with cancer.