The authors consider indecomposable degree $n$ covers of Riemann surfaces with monodromy group an alternating or symmetric group of degree $d$. They show that if the cover has five or more branch points then the genus grows rapidly with $n$ unless either $d = n$ or the curves have genus zero, there are precisely five branch points and $n =d(d-1)/2$. Similarly, if there is a totally ramified point, then without restriction on the number of branch points the genus grows rapidly with $n$ unless either $d=n$ or the curves have genus zero and $n=d(d-1)/2$. One consequence of these results is that if $f:X rightarrow mathbb{P 1$ is indecomposable of degree $n$ with $X$ the generic Riemann surface of genus $g ge 4$, then the monodromy group is $S n$ or $A n$ (and both can occur for $n$ sufficiently large). The authors also show if that if $f(x)$ is an indecomposable rational function of degree $n$ branched at $9$ or more points, then its monodromy group is $A n$ or $S n$.Finally, they answer a question of Elkies by showing that the curve parameterizing extensions of a number field given by an irreducible trinomial with Galois group $H$ has large genus unless $H=A n$ or $S n$ or $n$ is very small.