The American Academy of Ophthalmology and the American Society of Cataract and Refractive Surgery have updated their position paper on integrated care (comanagement). The revised statement modifies the original guidance that was first issued in 2000. According to AAO and ASCRS, "The updated document reflects the standards-driven approach in which patients are managed in the current health care environment." The document importantly reduces references to legal and ethical perils. It is unclear, however, if ODs were consulted in the update process. Derek and Walt discuss the revised guidance.