THIS ISSUE OF THE JOURNAL marks the first Case Study article we have published (15). These articles are the physiological equivalent of clinical case reports, showcasing unusual or extreme physiology in single experimental subjects. Our vision is simple-we wish to encourage studies of rarely available subjects, not because they are rare, but when they have the potential for clarifying important concepts thanks to some unusual structural or functional feature they uniquely possess. Thus a key component of a Case Study article must be to clarify an important, general physiological mechanism; a simple description of unusual physiology will not suffice. A risk in such reports is of course presenting data from just a single subject, such that the outcome is not robust because the subject is not reflective of the population. That challenge must be reasonably met by the authors by comparing signal to noise in their analysis and by the reader in recognizing the limitations of the data.A case study might evaluate an individual world champion athlete, an astronaut who has been at the International Space Station for a year, a climber able to ascend Everest without supplemental oxygen, a wild animal whose physiology is unique and rarely accessible. This case study evaluates the gas exchange properties of a giraffe. Yes, the giraffe is rarely available for study, but that alone does not justify publication. Here, the large lungs lend themselves to exploration of the effects of gravity on ventilation and blood flow distribution; the long neck raises the question of a likely large conducting airway dead space volume and how that may alter ventilation. In this case, there is also the opportunity to evaluate the effect of anesthesia on pulmonary gas exchange compared with other species, given the large lung size.Nyman et al. (15) used the multiple inert gas elimination technique (MIGET) to evaluate pulmonary gas exchange in a young giraffe. This opportunity arose because the animal underwent anesthesia for veterinary care. The study is notable, in part, because conducting MIGET in the presence of inhalational anesthesia is technically demanding: MIGET gases are present in parts per million, whereas the concentrations of volatile anesthetics required for anesthesia are orders of magnitude higher, interfering with the measurement of MIGET gases with chromatography. However, with care these constraints can be overcome.Perhaps one of the most interesting applications of MIGET is in evaluating the comparative physiology of gas exchange, allowing the ability to study the relationship between lung structure and function. Across species, lung structure varies markedly-from the simple unicameral saclike structures for some reptiles to the bird lung where ventilation and gas exchange are served by different structures (16) to the alveolar lung of mammals. Remarkably, ventilation-perfusion matching is similar across species such as reptiles (7), birds (19), and mammals (18), and the difference between species is less than the differences b...