RT Journal A1 Pratt GM T1 DEsignation does matter JF Archives of Surgery JO Archives of Surgery YR 2010 FD January 1 VO 145 IS 1 SP 105 OP 105 DO 10.1001/archsurg.2009.254 UL http://dx.doi.org/10.1001/archsurg.2009.254 AB In his article entitled “Bariatric Surgery Outcomes at Designated Centers of Excellence vs Nondesignated Programs,”1 Dr Livingston asserts that “designation as a bariatric surgery center of excellence does not ensure better outcomes” and “neither does high annual procedure volume.” Livingston uses complex statistical equations and formulas to convince readers that he has done his research. Most will skim through the intricate details and move quickly to the commentary, leaving the statistical analyses to Livingston, who wrote the article alone without a statistician coauthor.