In this issue of AJKD, Shahinian et al1 report findings from a study analyzing the impact of surgeon characteristics on the incidence of autogenous arteriovenous hemodialysis access (AVF) creation and maturation among prevalent dialysis patients in the United States. Using data from the US Renal Data System encompassing almost 5,000 surgeons and 50,000 procedures, the authors reported that the median placement rate of AVFs (vs arteriovenous grafts) was 71% (interquartile range, 59%-84%) while the maturation rate was 59% (interquartile range, 44%-71%).