The Sino-German Video Conference on High-level Hospital Management 2022 was held successfully on May 27 at Zhengzhou Orthopedics Hospital.We highly appreciate the great support from the President Zhang Yelong, the Executive Vice President Wang Aiguo, the Vice Presidents Mei Wei, Huang Wanxin and Huang Mei as well as the attendance of all the administrators. Prof. Mayer shared his experience in managing Schön Klinik Munich Harlaching with a lecture titled The keys to success of a hospital - How to build and maintain excellence in which he emphasized the importance of hospital quality. The hospital quality categories include patient satisfaction patient relationship management amenities and convenience decision making efficiency and patient outcomes. The first four categories can be summarized as the process and management quality of a hospital. A perfect outcome does not count if a patient is dissatisfied with the infrastructure or other services. Besides, the core of the success is to keep the medical quality high which is to control complication rates and risks. During the discussion, Prof. Mayer also shared his insights in talent cultivation. It is not necessary to spend too much effort to hire a “key opinion leader” as the chief of a department. Instead, we should explore the young and talented “rising stars” who are at the second row of good surgeons and offer them the opportunity and help to grow up as a real “key opinion leader”. The key to maintain the talents is to cultivate our own key opinion leaders instead of hiring external talents. Talents are the core competitiveness of a hospital.