Chapter 6

Carson next focuses on his medical career. He tells how he returns to Michigan for medical school, marries Candy, and then heads to Johns Hopkins for his neurosurgery residency, spending a subsequent year in Western Australia, where his first son is born. He returns to John Hopkins, becoming their youngest ever director of pediatric neurosurgery, in which position he continues beyond the period covered in the book. Turning his attention to his career as director of pediatric neurosurgery, Carson details key surgical advances that he made, using his "gifted hands" while relying on God's guidance, culminating with the separation of two craniopagus Siamese twins, the first such twins joined at the back of the cranium to both survive a separation.

He wraps up his memoir with a return to a focus on family life and his decision to limit his professional life in order to be present for his three sons, as his father was not present in his life. He reveals his and Candy's plans to inspire economically challenged young people with a scholarship program and his THINK BIG approach to achieving success.