May 2023 Issue Review For our rare conditions section, Durham et al1 report a technical piece on a pediatric patient requiring bilateral nephrectomy for worsening proteinuria and in preparation for kidney transplantation. This article contains a number of elements our board wants to see in a rare condition report. The authors start with a concise review of refractory proteinuria and its risks for several systemic complications including thromboembolism. They review the indications for the procedure and some of the key discussions around the decision-making between staged vs simultaneous nephrectomy. Therefore, our readers benefit from a mini-review of the topic and an example of 1 solution with a minimally invasive technique. Next, the surgical technique has a clear set of figures, including incision planning to best merge the robotic procedure and the next stage kidney transplantation. Finally, the authors use the supplemental materials to include 4 video clips of the technique (best found if you view the article as a web/HTML version rather than the PDF). Well done! In this issue, we also feature an interesting use of health services research methodology to address cost and resource utilization around medical expulsive therapy (MET). Wong et al2 used the IBM MarketScan Commercial Database to gather a large cohort of patients with ureteral stones who did or did not have MET. There are several simple tables in the article, with table 1 summarizing the key findings that MET increased overall resource utilization and costs across several categories including pharmacy, radiology, and procedural. The authors review the controversies on this topic including the various randomized and meta-analysis studies that show varying results. Supplemental figures show a nice study cohort, and the authors discuss the limitations of this data set. Finally, we have an interesting article on the novel technology around rapid polymerase chain reaction–based testing of urine specimens for infection, with the goal of providing clinicians rapid information on drug sensitivity. Our journal's table of contents design features a methodology-based classification of articles, and we have recruited various experts in the field around clinical trials, health services research, and others. If an article review generates some controversy among reviewers, 1 eventual solution is to help the authors optimize the article as best we can, but then publish the relevant methods-based critiques. The article by Ko et al3 explores this rapid test methodology and a detailed cost analysis. Our editorial board member Bruce Jacobs put together a team to dive into this article in more detail and provide the readers with more understanding of the strengths and limitations of this work—see Myrga et al.4 May 2023: People, Places, and Things As our annual meeting overlapped into May this year, our pictorial review will draw from more behind the scenes. For many faculty members and those involved with various AUA volunteer service, the annual meeting presents an opportunity for all sorts of meetings—societies, boards, committees, etc. Some often jest that the meetings, exhibits, and networking may limit actual CME attendance. Figures 1 and 2 highlight some memorable people at our annual meeting—editors speaking, lecturing, and educating our audiences. While many attendees might have spent most of the meeting at the McCormick center, there were some downtown events. I visited the Fairmont Hotel downtown and visited some of the riverfront scenery—Figure 3. While at the Fairmont, I interviewed with Urology Today to discuss JUOP and open-access publishing (Figure 4). Figures 5-7 show some highlights of “things” related to our field and the meeting: awards, medals, and fun scenery from the night events.Figure 1.: People: The JUOP team had its first in-person editorial board meeting with a break for a group picture.Figure 2.: People. A, Isla Garraway presents a crystal clear overview of prostate cancer genetic screening at the International Prostate Forum. B, Michael Gorin discusses locally advanced prostate cancer at the International Prostate forum. Dr. Gorin is editor of BJUI Compass—another fully open-access urology journal. C, European Urology editor Alberto Briganti discusses oligometastatic prostate cancer at the International Prostate Forum. D, JUOP editorial board member Sam Washington led an interesting discussion on management of septuagenarians with early prostate cancer or elevated PSA.Figure 3.: Places: For those out and about during the Chicago AUA 2023, the river walks and architecture are popular sights.Figure 4.: Places: While downtown, I visited the studio for Urology Today to do an interview on JUOP and the open-access publishing space. Their team took a large suite at the Fairmont hotel and turned it into a studio for recording a series of interviews with urologists and hot topics.Figure 5.: Things: Awards are a common event at the annual meeting. Pictured are (left to right): Ashok Hemal, Craig rogers, Ash Tewari, and Jihad Kaouk—receiving their plaques for service as past presidents of the Society of Urological Robotic Surgeons.Figure 6.: Things: The Urology Care Foundation held their fundraising event at Buddy Guy's Legends. Iconic instruments, photographs, and a well-stocked bar make a nice image.Figure 7.: Things: Sunday night was the AUA President's Reception for Ed Messing. Up close: the AUA president's medal.