RT Journal A1 Damrauer SM, Bordeianou L, Berger D T1 NO anastomotic leaks after colorectal surgery in rural community hospitals—reply JF Archives of Surgery JO Archives of Surgery YR 2009 FD October 1 VO 144 IS 10 SP 977 OP 980 DO 10.1001/archsurg.2009.175 UL http://dx.doi.org/10.1001/archsurg.2009.175 AB We commend Dr Schittek for taking the time to review his outcomes and for his excellent results. Self- and peer review are important parts of the practice of surgery, whether in a large academic center or solo practice, and allow us to insure that we are providing patients with the best care possible. We should all strive to reduce our leak rate to 0. In our series of 4012 patients undergoing colon or rectal resections, we identified 58 anastomotic leaks, for an incidence of 1.5%. We understand the pressure faced by community surgeons to maintain good outcomes.