Deer reduction must be considered in any discussion of effective community level intervention to reduce the risk of Lyme disease. There were three main factors that allowed the epidemic to emerge (reforestation, suburbanization, and dense deer herds). Only deer density may be targeted in efforts to reduce, over the long term, the risk landscape to what it was prior to the epidemic. The majority of studies analyzing the effect of deer reduction as a mode of intervention against Lyme disease demonstrate great reductions in the density of deer ticks, a prerequisite for local risk for acquiring infection. Zoonotic transmission of the deer tick microbial guild requires tick reproduction and infection of the resulting ticks. Deer reduction targets tick reproduction without which there is no enzootic transmission cycle. Arguments against the utility of deer reduction as a mode of intervention mistakenly conflate its potential efficacy with the sociopolitical obstacles for implementing such an action. In addition, some confusion exists as to the goals of deer reduction as a mode of intervention: it will not reduce risk in the short term over large areas, but is intended to reduce risk over time and in discrete sites. Deer reduction would be most effective as part of an integrated tick management program that comprises short-term and long-term approaches.