Dr. Michael Landzberg has been a trailblazer in the care of adults with congenital heart disease for over three decades. At a time when many others were apathetic or even skeptical about the future of ACHD as a specialty, Dr. Landzberg's infectious enthusiasm and inspirational leadership overcame the many barriers to establish the Boston Adult Congenital Heart Disease and Pulmonary Hypertension Program as a joint venture between Boston Children's Hospital and Brigham and Women's Hospital and to then nurture it into one of the busiest ACHD programs in the world. Dr. Landzberg’s extraordinary generosity with his time and wisdom is widely known. In his more than 20 years as the director of the BACH Program, he has arguably trained more practicing ACHD cardiologists than anyone else in the world and has contributed to the education of hundreds more fellows and residents. Graduates of the BACH fellowship program have lead their own programs all across the United States and on four continents. As the specialty of ACHD has matured and as patients live longer and longer lives, Dr. Landzberg saw the need for end-of-life planning and palliative care in a specialty that had until now focused primarily on extending survival, on defeating death. Therefore, Dr. Landzberg recently completed an additional fellowship in palliative care and now brings those special skills back to the ACHD community and to his patients, pushing all of us to think outside the box once more.