Minimally invasive surgery has become the current standard of care for many, if not most, surgical procedures. From cataracts to coronary arteries, from gall bladders to gynaecology, minimally invasive surgery has supplanted Arnold K. Henry's Extensile Exposure  for surgical access to internal anatomic structures. In orthopaedics, arthroscopy is expanding minimally invasive surgical techniques from major joints to smaller joints and even to potential spaces between tissue planes. Standards of care are an evolutionary concept. Surgical arthroscopy and a touch of bravado helped grow the broad shoulders of pioneering giants on which we stand today to advance the field of upper extremity joint surgery.