A 1992 editorial in Obstetrics Gynecology titled "Operative Laparos-copy: Surgical Advance or Technical Gimmick?" raised a number of concerns about a then-nascent field, concerns based mainly on the paucity of evidence regarding the appropriateness and outcomes of performing gynecologic operations endoscopically.1 The editorial provoked considerable reaction, most of it variations on the theme "How dare you!" The journal received many letters about the editorial, far more than ever came in response to a single publication. It seems appropriate now to ask where we stand 18 years later.
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