To the Editor Although Badgery-Parker and colleagues1 should be commended for their efforts to identify low-value procedures in their recently published Original Investigation, their analysis, where they conclude that “These procedures probably should not have been provided,” fails to capture the nuances of value or appropriateness. I will restrict my comments to endovascular repair of abdominal aortic aneurysms (EVAR), which comprised 6.9% of the 9330 cases.