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We thank Dr. Herrera-Martinez and colleagues for their thoughtful Letter to the Editor following the publication of our article. Their letter further highlights critical aspects of the problem of sexual harassment in neurosurgery as well as the negative impact on individuals and the healthcare system. We are in full agreement with this statement: "Because harassment is a problem that is rarely discussed, we should encourage the medical community to foster education among students, trainees, and surgeons about each phase of harassment to be able to identify it and to have clear protocols when harassment occurs." The published data will certainly help to make all aware of the extent of this issue. Already, new policies have been written to address the issue, and organized neurosurgery has clearly shown they will face the problem and find effective solutions.

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