become just "injectionists," as a former attending of mine would say. The insurance landscape is changing; no longer can we just inject patients without showing adequate improvement. You need to have another tool in your tool belt. Most of us receive implant training during residency and fellowship. For further knowledge and practice, most device manufacturers provide training outside of fellowship. They offer cadaver courses and on-site visits where you can observe a practicing pain physician placing a permanent implant. Our society meetings provide training courses. You just 36 2 have to get the motivation, ask for help if needed, and often take a leap of faith to do it. Doing your own implants may provide you with the personal satisfaction that you are able to provide the best care possible for your patients and probably keep you wanting to practice medicine. So, my dear pain fellows, when the time comes to apply all of the excellent training and knowledge you acquire during your esteemed pain fellowships across the country, I can only say: JUST DO IT! American Society of Regional Anesthesia and Pain Medicine 2017