Why your “eureka” product idea will fail and iteration is your real superpower

After years of pattern recognition of the great ortho winners, I’ve realized that there are two distinct paths to the super-successful company.

1/ Brilliant Luck 2/ Iterative Grind

Path 1: The "Lightning in a Bottle" Route The first path is the stuff of industry legend. It requires brilliant leadership—the kind of visionary founders who can foresee market shifts a decade out—paired with a necessary dash of luck. Think of the pioneers who first championed minimally invasive spine surgery or patient-specific instrumentation. These trailblazers navigate regulatory minefields with finesse and a...


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