 In some ways, it's actually hard to imagine it's been 30 years since the Human Genome Project's launch. When so many of my memories are incredibly vivid and make me feel like it happened like just a few years ago. At the same time, I'm also astonished by how far we have come in 30 years and how we can now begin to see how genomic medicine will be implemented. To be totally candid, when I decided to get involved in genomics and to train in laboratory medicine a little over three decades ago, I had assumed the use of genomics in medicine would be something that the next generation of physicians and scientists would make happen. I simply could not imagine that it would happen in my lifetime, let alone during my career. So witnessing genomics become widely disseminated across biomedicine and genomic medicine implemented in meaningful ways to improve clinical care is profoundly gratifying and reaffirms the brilliance of those who had the vision to organize and launch the Human Genome Project 30 years ago.