There are meetings that you go to once or twice and never return and others that you just keep going to year after years for decades. The American Telemedicine Association (ATA) Annual Conference and Trade Show falls into the latter category for many of us. I think this year was my 20th year – but who’s counting! Why do I keep going back? Over the years the meeting has changed in many ways – growing from a small but growing gathering of those already involved in telemedicine to a large and growing gathering of everyone from the seasoned telemedicine aficionado to the green novice just trying to figure out what it’s all about.