The optimal time for passing the baton from one generation to the next has always carried the potential for tension. However, there can be no question that this has been accentuated by the unique population circumstances in which we currently find ourselves. The bolus of post-war babies has reached full maturity and, in fact, their own children are reaching the point of assuming positions of responsibility. Never has the world been presented with a larger group of accomplished individuals seeking to make their mark. At the same time, the aging of the population has resulted in an unusually large number of older citizens who remain energetic and productive. Statistics would indicate that those reaching a putative retirement age of 65 years have an average life expectancy of 16 years. Perhaps more importantly, health and vigor have substantially increased in the current senior generation. They pursue regular physical exertion, continue to follow a demanding work schedule, and fill many leadership positions in business, politics, and science. Warren Buffet, John McCain, Gene Braunwald, and Magdi Yacoub are just a few of the prototype individuals who come to mind. As for myself, I ski and surf with my grandchildren, something I could never have imagined doing with my own grandparents. Thus, society is currently confronted with the dilemma of accommodating a large, ambitious younger generation in the setting of a big, capable, and experienced older generation with little interest in retirement.