Digital media strategy and operations professional claims extraordinary ability. Director found two criteria met; petitioner claimed three additional criteria on appeal. AAO dismissed, finding published material and original contributions not established. Overall, petitioner showed career progression but lacked evidence of sustained acclaim or position among small percentage at field top.

Orthopedic surgeon specializing in spinal surgery claimed extraordinary ability. Met two of six claimed criteria: judging and scholarly articles. AAO dismissed, finding membership and published material criteria unmet. Three similar Chinese articles published nearly simultaneously raised questions about authenticity and common origin. Insufficient evidence of sustained national acclaim; did not demonstrate place at field's very top.

Transplant surgeon seeking EB-1A classification. Claimed six criteria; service center found only two met (judging and scholarly articles). AAO affirmed, finding remaining four criteria unsatisfied and concluding cumulative evidence insufficient for extraordinary ability at very top of field.

Instructional technology researcher sought extraordinary ability classification. Met two of ten required criteria: judging through peer review and scholarly articles. Decision held that contributions lacked major field-wide significance despite specialization in online distance education, failing to demonstrate sustained acclaim required for extraordinary ability.