Editorial Considerations: When More is Not Necessarily Better

endovascular surgery, indications The erroneous perception that the more procedures are per-formed the more is the economic income of a surgical unit can lead some surgeons to be less observant to the international guidelines. We would like to address the attention of the read-ers over 3 intriguing topics of vascular surgery. Carotid surgery is a prevention treatment for ischemic stroke in asymptomatic patients. Nowadays, it is demonstrated that there is a real benefit of surgery over conservativemedical therapyonly in male patients with asymptomatic carotid stenosis 70 % and younger than 75 years. We should remember that the benefit, in terms of absolute risk reduction in stroke is only 1 % per year, and it increases with subsequent years of follow-up.1 Therefore, life expectancy and a lower than 3 % cumulative mortality and mor-bidity complication rate of the center should bekept inmindwhe