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this single area of surgery allowed him to develop expertise and skills that led him to be a world leader in the eld. He delved into the history of hernia surgery dating back many centuries, learn­ing the importance of the anatomy and physiology of the abdominal wall. He traveled to Padua to see the workplace of Edoardo Bassini and at its uni­versity to see the Theatrum Anatomicum. In his quest to learn from known accomplished herniolo­gists, he went to Toronto to meet with Nicholas Obney at the Shouldice Hospital, to Los Angeles to visit with Irving Lichtenstein, to NewYork City to operate with George Wantz, to Paris to operate with Jean Pallier, and to Amiens to operate with Rene Stoppa. He met with many other prominent surgeons including Campanelli, Chevrel, Flamant, Negrro, Kreuzer, and Schumpelick who were part of G.R.E.P.A. (“Groupe de Recherche et d’Etudes de la Paroi Abdominale”), which later became the European Hernia Society [3]. He embraced the camaraderie of other surgeons with an interest in hernia surgery, and in the 1980s, he invited many colleagues from the United States, the United Kingdom, South Africa, Israel, and Europe to par­ticipate in hernia surgery conferences in Miami. In 1997, at an organizational meeting in Miami hosted by Dr. Gilbert, the American Hernia Society was founded, and Dr. Gilbert became its rst presi­dent. Dr. Gilbert’s approach to hernia repair has mirrored that of general surgeons around the world, initially using suture repairs and then switching to mesh repairs as surgeons and patients became frustrated and dissatised with high recur­rence rates requiring additional procedures. The concept of placing mesh behind the muscle led to the development of a bilayer repair with the PHS, a technique in which two layers of mesh attached by a “connector” are placed behind and in front of the muscles, requiring very few sutures [4].