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Two weeks ago I was in Florence, Italy invited by the Italian Society of Orthodontics (SIDO) to give a conference at their congress with more than 2000 attendees. I spoke about the importance of using skeletal anchorage to solve complex cases, thanks to this new way of doing orthodontics, in many cases surgeries can be avoided. Orthodontics with the introduction of skeletal anchorage is new way of doing orthodontics and makes us much more effective and better orthodontists. We enjoyed the autumn weather and visited the beautiful city of Florence.