Obviously, this book has been conceived and designed by cataract surgeons biased to favor ISBCS. However, our aim has not been to create a propaganda document with the single goal that ISBCS shall be praised from every possible angle. On the contrary, we have had the privilege to work with numerous international authors (70) who have contributed with carefully balanced and detailed chapters about their reasons to keep an intelligent and open attitude toward the concept. Several chapters contain thorough information about circumstances, regarding the individual patient as well as how health care is organized in each country, what might make the responsible cataract surgeon decide for or against implementing ISBCS for a specific patient. We have chosen to make this chapter a joint effort of all the senior authors and editors to give the reader our collective views rather than those of a single one of us. An outcome of our efforts that has surprised even us, the senior editors, all of whom have fought for ISBCS for decades, is that ISBCS has served to raise many issues about cataract surgery, such as how we sterilize instruments, and insist upon indicators in each tray, how we segregate instruments and do not use the same trays for multiple eyes, how we assess each patient's potential risks in surgery before we get to the operating room, and carefully identify potential problems, etc. We have discovered that ISBCS is preferred by patients, and the struggle to implement it has made all of us better surgeons, as we have had to address numerous issues, which in retrospect, seem to have been imperfect before. Still, our hope is that improved standards of ophthalmic care as well as outcomes after cataract surgery will in the future enable increasing numbers of surgeons and healthcare systems to, after proper balancing of benefits and risks, offer ISBCS to their cataract patients safely, and better than cataract surgery ever was before. In this the final chapter of our book, we share with the reader some concluding thoughts about the future of ISBCS, what speaks for and against its increased use around the world, and how to address issues hampering its uptake. Some aspects are of course conceptual, but this does not reduce their relevance.