Scotland and Scots paediatric surgeons have been in the forefront of the de
velopment of surgical services for children. Development has occurred at di
fferent rates in sections of society. Progress or obstruction has seldom be
en for 'scientific' reasons but much more according to the personal interes
ts or drive of individuals. The Scots can justifiably claim some influence
in the overall evolution of paediatric surgery, It is no wonder that Henley
wrote after his visit to Waiter Scott in Edinburgh, "The conceit of these
bloody Scotsmen is atrocious".