The Canadian Orthopaedic Trauma Society has been a promoter of multicentre research studies for more than a decade. From its modest beginnings, the group has grown to over 50 members who meet twice a year. The following article is a review of how the group developed to become a leader in level-one orthopaedic research. The success of the group stems from the respect and collaboration amongst the surgeons and research coordinators. This is most evident in the design of new studies. Surgeons and coordinators both have input into new protocols and this has been essential in designing protocols that are followed to completion. The group has completed a number of prospective randomised trials over the years and has received numerous awards. These awards are highlighted along with recent publications by the group. These accomplishments have led to recognition as a leader in successful randomised orthopaedic trials and have helped us to obtain funding for our ongoing and future research.