Thanks guys. It is an amazing job and I think I was fortunate to pick the specialty that suited me best but medicine (if done correctly) is more a religion than a career, requiring all your effort with very little respite. I've been at it for 33 years though and I've put myself on a "pre-retirement protocol" . I promised my kids I would retire by 60 which comes up in March of next year and I plan to honor my promise. I'm sure I'll miss surgery terribly and a lot of free time will be tough to manage but I'm sure working on my toys (cars, motorcycles, house, etc), maybe a new business venture, and spending time with the people I truly care for will take up a lot of it very pleasantly.