Hi everyone, I'm a third-year medical student trying to finalize my specialty choice. I've been pursuing neurosurgery for a couple of years now, mostly out of a profound interest in the brain. I didn't feel like I was interested much in the subject matter of other surgical specialties, and didn't explore them very much. Now that I've completed my clinical rotations in them, I've realized that there are many aspects of neurosurgery that I don't enjoy nearly as much as I thought I would; for example: spinal surgeries (and the fact that they often make up 50-70% of all cases for most neurosurgeons), the sheer length of some surgeries (routinely 5+ hours, up to 12+ hours), generally poor outcomes, the intense personalities, etc. In sharp contrast, I enjoyed my time on general surgery a lot more than I thought I would. I meshed well with both staff and residents, really enjoyed the pace and the procedures, loved the thought of getting good at laparoscopic surgeries, enjoyed that many (most?) of our patients had great outcomes, and appreciated that the staff surgeons had enough time to pursue a reasonable life outside of the hospital (unlike in neuro surg). I also like the idea of trauma surgery, although I haven't had a chance to explore it yet. My biggest dilemma right now is that I don't find the organ systems of general surgery to be particularly fascinating. I really enjoy the anatomy, but I'm not especially interested in most of the research happening in the field (e.g. gut microbiome, molecular biology in surgical oncology, etc.), except for maybe medical devices and innovation. So my question is: how important is it to be "passionate" about the organ system you are operating on? Am I doomed to eventually become miserable if I go for gen surg without feeling the same fascination as I do for the brain in neurosurg? Is enjoying the anatomy and procedures good enough to keep you going? These are of course very personal questions, but I have no way of knowing if my current interest in gen surg is enough to keep me going for the long haul. It's hard to tell with only a 3-week exposure in the specialty. Would love to hear from residents who are or have been in a similar situation. Thanks for your help and sorry for the long post! P.S. In case it matters, I'm studying in Canada, and feel like I have a reasonable shot at matching neurosurgery if that's the path I end up choosing.