A 2020 NIH abstract shows that the number of orthopedic surgeons in solo practices is a low 7.4%, with 1,595 orthopedic surgeons owning their practice. Most orthopedic surgeons work for other institutions rather than own their own practice due to the start-up costs of starting a business and the financial instability of running a business. The interviewers ask this question to understand your career goals and where you see yourself working after completing your residency and/or fellowship. If you do not plan to own your own business, explain why. If you would like to start a practice in the future, describe why business ownership appeals to you.