In this episode, Robin Young interviews Dr. Stephen Hochschuler, co-founder of Texas Back Institute (TBI). At 82, Dr. Hochschuler shares his "looking where the puck is going" philosophy that guided his innovative career in spine surgery. He recounts founding TBI with Dr. Ralph Rashbaum in 1977, their pioneering work in disc arthroplasty, and building what became recognized as the premier academic private practice in spine care. Dr. Hochschuler discusses the importance of surrounding yourself with talented people, current interests in AI and healthcare startups, and his perspective on the evolving landscape of spine treatment.