Dr. Howard C. Filston, MD, Professor Emeritus of Pediatric Surgery at University of Tennessee Medical Center Knoxville, received his medical training from Case Western Reserve University School of Medicine. He worked at Duke as a Professor and founding Chief of Pediatric Surgery from 1976 to 1990. He left Duke in 1990 to join the faculty at University of Tennessee Medical Center at Knoxville, where he was Professor of Pediatric Surgery, Chief of Pediatric Surgery and Pediatric Trauma, and Vice Chair/Education Coordinator in the Department of Surgery until his retirement in 2000. This collection contains 1 oral history conducted on October 5, 2019 by Dr. Justin Barr as part of the Dr. David Sabiston Oral History Project. In the Interview Filston discusses his early life; education; his decision to become a doctor; the field of pediatric surgery; working with his mentor, Dr. Robert (Bob) Izant; his fellowship with Dr. C. Everett Koop and helping establish the first surgical neonatal intensive care unit in the country; being recruited by Sabiston to come to Duke to as the first trained pediatric surgeon in an academic center in North Carolina; supportive coworkers at Duke; working with Dr. Samuel Katz; being involved in resident education at Duke; and how Sabiston ran the Department of Surgery and the culture of the department.