Following a life changing medical diagnosis, the author struggled to make sense of his past and find ways to help shape his future; in doing so he finds greater happiness and a renewed appreciation of life. His journey starts off with a long hard look at his past behaviors and how they controlled his life. As he evaluates his actions and the consequences, he realizes his is responsible for his behavior and must find ways to manage his outcomes. Instead of anguishing over the past or worrying over the future, he realizes he must find a way to live in the present with joy. He strives to accomplish this with flexibility in how he responds and openness to new pathways, proceeding with optimism instead of fear. The chapters are filled with his personal journey through a process of developing the 13 skills he has defined as necessary to find and keep happiness. He knows he must find forgiveness and gratitude from his past and in doing so finds ways to live in the present. While understanding these skills are a necessary part of the journey, it is actually practicing the behaviors that will help you embrace the changes they can bring, ultimately leading to happiness. It is this actual practice he takes us through as he shares his story with us, laying bare his unhealthy behaviors as he comes to understand why they are toxic and how he can manage them to affect change. He develops the skills of living in and appreciating the present and in doing so comes to realize the importance of cherishing relationships. He uses the example of his two sons throughout the book, showing us how very different they are from each other but how each one is equally important in his own way, no longer wishing to change either. He also shares instances in his life when he interacts with truly happy people and the impact their behavior has on others. He understands that to face the future he needs to rely on four of those skills in particular: Faith, Optimism, Flexibility and Openness (FOFO). While we cannot always control the future, how we adjust to the unexpected, have faith we will have what we need, and the openness to accept the pathways we find ourselves on, we can help shape our happiness. The book ends with an appendix summarizing the skills necessary to accomplish that goal. This book was an easy read, written with honest intention in the hope of inspiring us all to find our own happiness. Finding happiness is work6 but rewarding work it is when you do find your happiness. Mr. Smith will present the Leopold Koss Lecture during the ASC Annual Scientific Meeting in Salt Lake City, Thursday, November 14, 2019.