In this engaging discussion, Dr. Tanya Zakrison, a trauma and acute care surgeon, and Dr. Matt Martin, a former Army surgeon, join Dr. Benjamin Starnes, a vascular surgery expert, and Dr. Wesley Ohman, a specialist at a Level 1 trauma center. They delve into the critical question of who should manage vascular injuries. The conversation highlights the necessity of collaboration between trauma and vascular surgeons, addresses challenges in surgical training, and explores the evolving approaches to treat complex vascular trauma effectively.