“…In this issue of Foregut, a gastroenterologist and surgeon discuss the pros and cons of PD. 3,4 Dr. Shemmeri et al 5 address the importance of outcomes beyond the Eckardt score in evaluating treatment and 2 gastroenterologists with extensive experience, Drs Clarke and Boeckxstaens, 6 present their technique of PD in a “How I do it piece.” Dr. Clarke presents his preference for EsoFLIP and Dr Boeckxstaens describes a long-used technique, which while clearly successful, is not commonly performed in the US.…”