The American Academy of Orthopaedic Surgeons (AAOS) recently went through a comprehensive multi-year process to re-imagine its core focus and aspirational state to be the trusted leaders in advancing musculoskeletal health. Members of the AAOS Presidential Line provide behind-the-scenes perspective that explores the need for change, and how these changes provide a foundation for greater collaboration, innovation, learning opportunities and benefits for current and future members, patients and the larger musculoskeletal community. More on AAOS’ proposed governance changes: https://www.aaos.org/about/meet-aaos/proposed-governance-changes/ Moving Forward: AAOS Board of Directors Approves New Strategic Plan, (AAOS Now, April 2024): https://www.aaos.org/aaosnow/2024/march-april/commentary/commentary01/   Look Towards the Future, (AAOS Now, August 2024), https://www.aaos.org/aaosnow/2024/aug/youraaos/youraaos01 Host:  Valerae O. Lewis, MD, FAAOS, AAOS Membership Council Chair  Guests:  Paul Tornetta III, MD, PhD, FAAOS, AAOS President   Annunziato (Ned) Amendola, MD, FAAOS, AAOS First Vice President   Joel Mayerson, MD, FAAOS, FAOA, AAOS Board of Councilors Chair