Twenty years ago, I presented a new vision for medical publishing. The Heart Surgery Forum was inaugurated in August of 1995 as a multimedia scientific publication communicating over the new “Information Highway” known as the graphical Web. Â In the early days of HTML and HTTP, new ideas could evolve and disseminate quickly to a community that spanned the globe. The HSF began as a “Labor of Love” for my profession and my colleagues as a dynamic tool for the betterment of themselves and their patients. Included in the original HSF Web site was a novel means to present interesting cases using color photos, movies, text and graphics, which was groundbreaking in 1995.