Traveled to Louisville, Kentucky for the 46th Annual Scoliosis Society (SRS) Conference during my second week in the United States. I attended the entire conference from the formal pre-conference sessions to the final closing session. From an overall impression, the conference was similar to the last few SRS annual meetings, but in some ways it still showed the overall academic trends and progress. I will briefly summarize what I learned as follows: (1) In the surgical treatment of adolescent idiopathic scoliosis: the most thorough research was conducted in this area, and due to the more widespread use of total pedicle screws and the promotion of Lenke’s typing, most physicians tend to favor posterior pedicle nail fixation orthopedics, with fewer and fewer anterior procedures. The next research direction is to deepen the study of Lenke typing and truly move toward three-dimensional orthopedics. (2) Treatment of adult and degenerative scoliosis: This area has become the hottest area of discussion, also because adult scoliosis is far more complex than adolescent idiopathic scoliosis, with a higher incidence and greater pain for the patient, often accompanied by lumbar disc herniation and/or spinal stenosis. Treatment in this area is still largely based on the surgeon’s academic thinking and technical ability, and each surgeon may have a very different surgical plan for different patients. The next step in research is to develop a staging system similar to the Lenke staging. (3) Treatment of complex scoliosis: This part includes the surgical treatment of congenital, neuromuscular, syndromic, and infantile and pediatric idiopathic scoliosis. This part is always a difficult area, and spinal osteotomy and staged surgery may remain a topic of discussion for quite some time. (4) Intraoperative monitoring: Intraoperative electrophysiological monitoring has become a hot topic of research and discussion, and the conference recommended that electrophysiological monitoring should be used in every surgery, but not every patient may be willing to bear it due to the expensive additional cost.