Dear Readers:

Wound closure would seem to have a rich evidence base of randomized controlled trials (RCTs), but new questions are leading to surprising answers. The first publication reviewed in this Evidence Corner explores the relative risks and benefits of closing pilonidal cyst excisions compared to open or secondary intention healing and offers conclusions that leave practicing clinicians with a choice between faster healing or reduced recurrence. The second review explores the relative merits of closing traumatic lacerations with tissue adhesive as compared to standard wound closure (SWC) using sutures, adhesive strips, or staples. These results also create a dilemma for clinicians: quick, low-pain closure but at a higher risk for dehiscence. Both reviews open the possibilities for improving wound closure techniques with important choices to make for more patient-oriented outcomes.