The American College of Surgeons (ACS) was established in 1913, at the initiative of Franklin Martin, MD, FACS, Chicago, IL, as a surgical society dedicated to promoting the highest standards of surgical care through education of, and advocacy, for its Fellows and their patients, and to safeguarding standards of care in an optimal and ethical practice environment.

Members of the American College of Surgeons are referred to as "Fellows." The letters FACS (Fellow, American College of Surgeons) after a surgeon's name mean that the surgeon's education and training, professional qualifications, surgical competence, and ethical conduct have passed a rigorous evaluation, and have been found to be consistent with the high standards established and demanded by the College.

The Convocation for the bestowment of the title shall take place at the Annual Congress of American College of Surgeons in October 2010.