That's a transgastric cholecystectomy on our cover, which is a fancy way of saying that they (gulp!) removed the young man's gallbladder through his mouth. It's one of three natural orifice translumenal endoscopic surgeries (NOTES) that Legacy Good Samaritan Hospital in Portland, Ore., has hosted. It's also the climactic grand finale of abdominal surgery's great disappearing act. Right before your very eyes, it's gone from bigger-is-better incisions to keyhole incisions to no incisions.