While the branches of specialty in medicine deal with different problems of human health, sometimes the same problem can be common areas of different specialties. Different branches may compete with each other in the diagnosis and treatment of these overlapping disease groups. It is very important for competition to be scientific and to cooperate, but in general practical life, this competition is generally negative and can turn into a form of economic competition. The competitiveness of Orthopedics and Traumatology with its specialties is particularly in the areas of hand surgery and spinal surgery. In addition, some internal branches overlap our patients. This is the most critical point when to refer the patient to the branches. It is very important to refer the patient to the other specialty according to the condition of the disease and the patient, or to refer to another colleague if there is not enough training or conditions, even if it is in our own field of expertise. As a result; competition between all branches must be for the benefit of patients and public health. In the light of scientific principles, which are the basic principles of medicine, working and obeying ethical rules should be our biggest guide.