This book was inspired by the surgical residents at Northside Medical Center in Youngstown, Ohio. It was designed for residents by residents with the support of our faculty, program director and chairman. This project was based upon our twelve week Q&A ABSITE review course that, once implemented, brought our program within the top ten percent of the nation. This book is designed for both junior and senior level surgical residents. It is intended to augment your studying and is not meant to be your only resource for the in-training exam. It contains high yield ABSITE style questions with explantions.