As one of the proud recipients of the 2017 PFJ travelling fellowship, I was honoured and humbled to embark on a journey that I hoped would be the answer to all the questions I had regarding some complex and difficult patients that I accumulated over my last few years as a Paediatric and Limb reconstruction surgeon in Brisbane, Australia. The first dilemma was to try and organize a program that satisfied our learning objectives. My interest in consolidating an approach to the adolescent patient with high grade dysplasia and associated bony malalignment, led us to Minneapolis, Baltimore, Banff, NYC and Kobe… although our budget and time constraints saw us regrettably miss out on many centres that would have been valuable learning opportunities. Having arrived in Minneapolis sans luggage, I met Dr Mauro Nunez in our hotel and prepared for a 3 week immersion in all things PFJ with Dr Eliza Arendt and Dr Marc Tompkins. One of the most salient take home messages was to not get too caught up with exacting numerical assessment of common PFJ [...]