Environmental issues continue to occupy a good portion of the news and editorial thinking of contemporary society. No matter what we do, we are asked to think about the environmental impact of our actions. As we build, raze, and change the world around us, we worry about destruction of habitats, conservation of resources, and endangerment of species—and rightly so. In acknowledging the importance of that theme, I would like to discuss some of the factors that currently affect a different kind of environment—the one in which we work—which is facing real pressures from our current economic and political climate. Instead of the rain forest, I am alluding to our own ecosystem, the rather delicately balanced world of academic medicine, and to academic orthopaedics in particular.