In this issue of Pediatrics, the article by Freed and colleagues1 emphasizes important issues in ensuring the implementation of our immunization programs. The effector arm of the program, those who administer the immunizations, must have not only the capability, but also the will. This comes only from understanding the need and rationale of the recommendations. Freed et al surveyed pediatricians about their awareness and receptivity of the new recommendations for universal infant hepatitis B immunization; the survey was conducted during the 2- to 3-month period between publication of these recommendations from the Centers for Diseases Control and Prevention (CDC)2 and those of the American Academy of Pediatrics (AAP).3