It has been 15 years since my last visit to Vegas, and this year’s AAO meeting was a mix of familiar and new experiences. Despite ignoring all the slot machines, blackjack tables, and burlesque shows, I could not escape the massive, disorienting layout of the casinos, with over-the-top decor and prices that dazzle and horrify at the same time. I dropped Melody off at the airport for her own meeting on Veteran’s Day, and after some last minute meetings on Thursday, I was on my way to Sin City. After checking into my hotel, I made my way to the Tao to mingle at an industry event before turning in. Friday was spent mostly at Subspecialty Day, with an investigator luncheon for a clinical trial, and dinner afterwards with my old co-fellows. The evening continued with another epic Cornea Society party, and an afterparty with the fellows that lasted until 5 in the morning. Fortunately, I got to sleep in on Saturday before attending the afternoon session, followed by alumni receptions for Duke and MEEI. I was better rested on Sunday, and slipped out for brunch with a friend at Mon Ami Gabi before my OCT course presentation. With my obligations out of the way, I was able to relax at Madame Tussaud’s for a Zeiss presentation, then party away at the YO party at 1 Oak. I spent Monday catching up with friends over lunch at Sushi Roku and another chaotic CAOS dinner, where I volunteered manual labor for hearty Chinese seafood. Most people were gone by Tuesday, so I dined stag on stone crabs at Joe’s and a pricey prix fixe dinner at L’Atelier. Vegas is certainly fun but ultimately exhausting, and I’m more relieved than sad to go back home.