Change sometimes comes slowly, sometimes with astonishing speed. It has been a privilege to serve as the editor of The American Journal of Cosmetic Surgery (AJCS) for the past 7 years, and it’s hard to believe that it has been this long. The AJCS has been published by Allen Press for even longer. This issue represents the last installment of our long and fruitful partnership. Just as the American Academy of Cosmetic Surgery (AACS) has undergone profound changes in the last 2 years, moving from an internal management, physical office space model of internal association management to a virtual office run by a contractual management firm, so now will The Journal also be altering its structure. We are moving to SAGE Publications. This move, undertaken by our management team, transfers ownership of the journal to an independent, academic publisher responsible for more than 850 journals and 800 books across a spectrum of medical, scientific, business, humanities, and social science fields. In preliminary meetings with SAGE staff I have been impressed by their commitment to making The AJCS a distinguished resource for cosmetic surgery research and education. Plans include digitizing the entire back catalogue of the journal, open access to past and future articles, and creating a partnership with the AACS that will continue to ensure the integrity and value of the cosmetic surgery scientific enterprise. We will also be upgrading the details of our instructions to authors, establishing more comprehensive ethical guidelines in keeping with contemporary clinical research standards, and broadening the horizons of our contributors, reviewers, and readers. Allen Press has been a wonderful partner in the journal enterprise, and this departure is not about any fissures in our relationship, but rather is a not uncommon event in the publishing world. By shifting ownership of The AJCS to this larger multinational corporation, it is anticipated that we can enhance the reach and stature of the journal while at the same time reducing overhead costs for the AACS. Both are desirable outcomes in the increasingly fragmented and competitive world of scientific publishing. For the past couple of years my own inbox has received daily invitations to serve as editor of, reviewer for, or contributor to a new, self-proclaimed, “international” “worldwide” “open access” journal of some kind, increasingly narrow and specialized, or so broad as to be laughable, and most frequently built on a business model of “pay to publish,” where the authors are required to subsidize their publication. In this process, peer review is frequently minimal, negligible, or absent. Scientific or clinical standards of accuracy, precision, and trustworthiness are held to the lowest common denominator. The free flow of relevant, important, and valuable information is clogged by this sludge of valueless dreck. The entire enterprise of scientific publishing is currently undergoing a revolution. More “scientific” articles are published daily than were annually a few decades ago. Simultaneous publication, while still considered unethical, continues unabated. Plagiarism, outright fraud, and financially conflicted results are being published without proper references, acknowledgment of conflicts, or proper