“…In this issue of Facts, Views and Vision we publish two articles that are relevant to the methodology of evidence-based guidelines and their place in guiding the clinical practice. Tummers et al ( 2023 ) present an analysis of changes in the recommendations in the update of the Dutch Minimally Invasive Surgery Guideline after 10 years from its first version. The first point that catches attention is the update being delayed by five years from the original intended date of update, due to the non-availability of necessary resources.…”