It is generally agreed that many medical students who choose surgery as a career make this decision early during their education. This has previously allowed surgery to have a comparative advantage when it came to the recruitment and selection of trainees. However, the environment that allowed this advantage to exist is being threatened by the reduction of surgery in the undergraduate curriculum, active recruitment by competing procedural specialties and the pivotal missing linkage between undergraduate surgical education and vocational training.In addressing this challenge, a comprehensive analysis of the reasons for this early and concrete self‐identification as a “surgeon”, how this interest is nurtured, and why some are lost from the surgical educational pathway, must be undertaken. The assessment of these causes should drive the building of recruitment programs such as those that have been so successful in raising the interest of students and recent graduates towards many other specialties over the past decade.Surgery still has a powerful draw as evidenced by strong student interest but the College and other stakeholders need to be more active in responding to the challenges i
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