In this issue of JAMA Ophthalmology, Neel1 revisits the issue of the relative cost of immediate sequential cataract surgery (ISCS), ie, performed on the same day, compared with delayed sequential cataract surgery (DSCS). Unlike many previous analyses that have focused on payer and societal costs (and is the subject of another study from Neel2 examining this data set from that perspective), the analysis is conducted from the perspective of the physician practicing in the United States.