The formula is relatively simple. Supportive administrative leadership + interesting and innovative manuscript submissions + thoughtful, respectful reviewers + an engaged editorial review board + a committed editor = a timely, meaningful, and successful journal. Invariably the most overlooked and least rewarded component of this equation is the thoughtful, respectful reviewers. As we have done for our previous 9 years, my staff and I wish to take the time and journal space to again recognize those of you who have selflessly given to the journal as reviewers. This effort is especially appreciated in this hectic age of medical change. While there are no trophies for this effort, the rewards are both as teacher and student as well as the personal satisfaction of giving back to our specialty.