BACKROUND: PRE-SOCRATIC TO THE ENLIGHTENMENT Education has been intimately bound to the development of science and “medicine” historically from the Pre-Socratic Greeks, Aristotle, Galen, the Monasteries, Universities, Royal charters, and the Enlightenment up to our modern scientific revolution. THE COLLEGES, AND UNIVERSITIES Specialist societies and the Universities have added to this source of Education in the British Commonwealth (Australasia), the USA, Europe and beyond. FROM TESSIER (1971) TO THE ISCFS (2025) In 1971Paul Tessier set out the modus operandi for the discipline including “-the need for special training- “Over the ensuing 55plus years the founders of the ISCFS and others have adopted, attempted to practise and institutionalise these principles. At the ISCFS meeting in Shanghai 2025 I (David, Goodarzi and Mclean) presented “A Global Survey of Craniofacial Fellowship Training” under the umbrella of the Society. Overall, the response indicated that there was a lack of clarity and consistency surrounding the nature of advanced training in Craniomaxillofacial Surgery. The current practice of the discipline implies multidisciplinary, patient centred, management from birth to maturity and beyond, scientifically sound, delivered via an organised and appropriately funded infrastructure. Research and Quality management are mandatory. The Education and training should match the Task. ACHIEVEMENTS: - Much has been achieved in delivering this type of health care provided in major centres using Tessier’s principles. But, has the Education and Training of surgeons kept pace with the development of this complex, multi-faceted health care delivery system? PROBLEMS AND TENTATIVE SOLUTIONS This presentation visits some of the problems involved in educating and teaching surgeons in this realm and the barriers placed in the way of the solutions. What shape should the Education of craniofacial surgeons take to further support their service to the craniofacially deformed?