A historical review and case report of the first appendectomy ever performed on a submarine 120 feet below sea level and far behind enemy lines during World War II. This case history will be told uniquely from the perspective of a modern-day rural surgeon with an emphasis on the extraordinary leadership, teamwork, and heroism of the endeavor. All health care providers and administrators are in desperate need of these qualities to successfully unite, navigate, and conquer the attacks on today's health care system.
Keywords: leadership; selection; training.