Since 1946, Harbor-UCLA’s trauma doctors, nurses and staff have been dedicated to saving the lives of people with critical injuries and illnesses. Harbor-UCLA is the only ACS Level 1 Trauma center serving the greater South Bay and South Central area of Los Angeles. The Division of Trauma, Acute Care Surgery, and Surgical Critical Care responds to 4000 trauma activations each year with a 20% rate of penetrating trauma. The division also manages a wide range of general surgical emergencies from acute appendicitis to severe necrotizing soft tissue infections. With new faculty hires, our division now has eight full-time surgeons. The Trauma and Acute Care Surgery rotation provides residents with exposure to over 2000 urgent and emergent surgeries each year. Critically ill surgical patients are cared for in a 14 bed Surgical and 6 bed Cardio-Thoracic intensive care units. General Surgery residents rotate on the Trauma service each year of their training, allowing residents to gain knowledge and autonomy in the management of complex and critically ill patients. Our division, is involved in a multitude of clinical studies, including some multi-center, and remains a strong presence at academic meetings both regionally and nationally.