What if a doctor could save…your leg… your liver…your heart…your brain…your LIFE and send you home with only a bandaid? Every day, specialized doctors perform innovative procedures through pinholes in the skin, delivering life-changing treatments that allow patients to return to their lives with minimal interruption. Without a Scalpel is a fascinating glimpse inside the dramatic journeys of three patients who reclaim their lives through minimally invasive, image-guided procedures that they never knew existed. The primary project to advance the mission of the Interventional Initiative is the documentary Without a Scalpel: the Secret World of Interventional Radiology. This is a sizzle reel of the full documentary, which is cosponsored by the Western Angiographic and Interventional Society. It introduces the public to minimally invasive, image guided procedures (MIIP) through the perspective of patients and their families. We chronicle the experience of four principal patients and several additional patients as they are diagnosed, treated, and recover from their procedures. These patients represent a sampling of the breadth of diseases and conditions treated by MIIP, including blocked veins in the legs and pelvis, blocked arteries in the legs, liver cancer and metastatic disease. In the documentary, we meet these patients and their families and also come to know the interventional radiologists who treat them: Dr. Brooke Spencer, Dr. Daniel Sze, Dr. Gregg Alzate, and Dr. Darren Klass. Moreover, the documentary tells the remarkable story of how, through the innovation of early interventional radiologists such as Charles Dotter and Josef Rosch, all of medicine has been pushed toward more minimally invasive solutions for medical problems.