In the field of orthopaedic surgery, technology based innovations have driven the greatest benefits to patient outcomes over the past five decades. With the advent of the first total joint replacements and rudimentary arthroscopic tools fifty years ago, a revolution in orthopaedic care began. To further the Department of Orthopaedics national prominence, in addition to our foundational pillars of clinical care, education and research, the department is now well positioned to contribute to this remarkable wave of improving care through innovation. First, the department has over 100 full-time orthopaedic surgeons and trainees, always questioning how we can advance the field. Second, in 2020 the department opened a world class, state-of-the-art orthopaedic surgical Skills Knowledge Integration lab, the “SKI Lab,” on-site at the University Orthopaedic Center. It is an environment where faculty, fellows, residents and staff can teach, learn and create better surgical techniques in real time. And third, also in 2020, the department launched the L S Peery, MD Orthopaedic Innovation Center, with the ability to not only envision better surgical tools, instruments and devices, but actually create them rapidly, test them immediately in the SKI Lab, and rapidly iterate to optimal solutions to solve real surgical needs and issues with unparalleled speed and accuracy.