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“The future of vascular surgery is incredibly bright,” Daniel Clair (Vanderbilt University Medical Center [VUMC], Nashville, USA) opines in this interview with Vascular News on his career in the field so far. Having always known he wanted to be a physician, Clair is now chair of the Department of Vascular Surgery in the Section of Surgical Sciences at VUMC. He details his keen interest and experience in trialling new innovations and technologies for the betterment of patient outcomes, highlighting in particular his ongoing work on deep vein arterialisation technology for limb salvage. Clair also considers some of the challenges and opportunities currently facing the specialty-pointing towards the future adoption of medical therapies-and advises aspiring physicians to look after their own health and wellbeing in order to be able to meet the demands and responsibilities of a career in medicine.