In a JACC: Advances viewpoint, Ramzi Ibrahim, MD, reflects on the inaugural Fuster Prevention Forum, part of the broader Fuster Heart Movement initiative, arguing that cardiovascular medicine should do more to prevent disease before patients ever reach a cardiologist. Citing evidence that cardiovascular risk begins in childhood, he challenges the field to shift more training, resources, and prevention efforts upstream. Ibrahim highlights the Forum's mission to equip clinicians to bring early prevention strategies back to their communities and concludes that, despite remaining evidence gaps, the potential to add decades of healthy life makes primordial prevention in early childhood a compelling priority. Read the full viewpoint.