Today I have more questions than answers. I enjoy performing the MSICS technique and even in our Beverly Hills surgical center, I employ this technique a few times per year. When I was teaching the UCLA ophthalmology residents in the operating room, I taught them this technique as well. Certainly, it is a very useful technique and in many cases it can be better and safer than performing phacoemulsification. Our guest surgeon today has expert hands and elects to perform MSICS without a peritomy and the result is very nice. Among our CataractCoach fans, there are many surgeons who perform MSICS dozens of times per week, with a depth of experience that is rare to find in my community. For these experts, my question to you is: Should you perform MSICS without a peritomy? Your comments are encouraged.