Well, as a student at UB I can tell you that the surgery program is in a state of flux. They are still looking for a program chair and the current interm chair is one old school-ed guy who can be very mean to the residents. From a student's prespective, the rotation that we go through is absolutely horrible. We are not graded by the residents and the attendings barely know us (if at all). The hours are "80"/week, but in reality more. As a student I had one week where I worked 120hrs and others where I worked 90. Everybody is encouraged to only work 80 hrs (g-d forbid we would be fined), but reality is that you can't leave early and depending on your chief you may do lots of scut work. Most of the residents are very nice, but I feel the program is not nice to them. I would be very hard pressed to recommend it to anybody, but I am not going into surgery and am only a student. Maybe, if a new chair arrives in the next few months things will change. Check it out for yourself and see if any of the residents like it.