N HIS EDITORIAL "Millennial Milestones That Matter"1 in the January 2000 issue of our sister journal, Archives of Otolaryngology—Head & Neck Surgery, Dr Michael Johns invited us to consider major achievements of the past century and opportunities for the next within otolaryngology–head and neck surgery. In a general sense, the combination of demographic trends and scientific advances predicts a population relatively free of the many neoplastic, congenital, and infectious diseases that have preoccupied us in the past. In addition to trauma, diseases of degeneration associated with age will be a focus in the future.