Although the qualifications for the American Board of Ophthalmology include a completed residency with 25 cataract cases performed, the American Board of Eye Surgery (ABES) actually reviews 50 consecutive surgical procedures and assesses the indications, appropriateness, and the visual outcomes of surgery. Qualified candidates then have 5 videotaped surgeries evaluated by a panel of surgical examiners to confirm that the surgeon is using contemporary techniques and is skillful in his surgical approach. The reviewers have no knowledge of the surgeon’s identity, eliminating bias and underlining the objectivity of the process. In addition, the American Board of Eye Surgery requires each surgeon to be recertified every 7 years to ensure that the surgeon has updated his surgical skills and has kept pace with technological advances.