Surgical journals use videos for educational and promotional purposes. YouTube is a suitable social media platform for sharing videos of journal content. The Surgery journal experience on YouTube can be used to learn important information on the nature of video content, the measurement of performance, and the benefits and challenges of using YouTube to disseminate journal content. Video content can be created to deliver information and infotainment. The online performance of videos can be measured using various metrics on YouTube Analytics, including content views and engagement metrics. There are several benefits to the use of YouTube videos by surgical journals, including the dissemination of reliable information, language versatility and diversity, open access and portability, increased visibility for authors and journals, and the humanization of the journal interface. However, challenges also need to be overcome, including viewer discretion where graphic content is concerned, copyright protection, limitations of Internet connection bandwidth, algorithmic barriers imposed by YouTube itself, and violations of biomedical ethics.