Josef Rosch, a leading pioneer in interventional radiology from the field’s inception to the present day, documents his life and discusses important aspects of his work in this autobiography. In particular, he focuses on procedures he developed or improved and popularized through his lectures and publications. Rosch was a pioneer in interventional radiology from the field’s inception to the present day. In Prague, Dr. Rosch worked on splenoportography and visceral angiography. In the United States, he developed the transjugular intrahepatic portosystemic shunt (TIPS), introduced embolization as a treatment for gastrointestinal bleeding, and expanded the use of metallic stenting to treat obstructions in major veins and the esophagus. In addition, he was the first person to use expandable metallic stenting. In addition, he was instrumental in developing both coronary angiography and the catheterization of the fallopian tube. In addition, the book discusses the author’s role as the primary person responsible for establishing the Dotter Interventional Institute in 1990. In the field of interventional radiology, the Institute was the first freestanding and independent unit to focus on education, research, and patient care. The organization of scientific meetings by Dr. Rosch and his early use of techniques for live internet broadcasting is both described in this book. Additionally, the book comes to a close with a summary of the numerous honors and awards that he received in recognition of his accomplishments.