We enjoyed the recent report by D. J. Bowrey et al. [1] about risk factors and the prevalence of trocar site herniation after laparoscopic fundoplication. As a consequence of their observations, they state that they have developed a new method of open trocar placement by use of a paramedian skin incision and separate fascial incisions with retraction of the rectus abdominus muscle laterally.However, we have been using this technique, which we described in 1999 in this journal [2], since 1992 in laparoscopic fundoplications and in other laparoscopic procedures (more than 3000 procedures). We indeed encourage its widespread use since we have not encountered any vascular or bowel injury with trocar placement and have experienced no postoperative hernia formation at this trocar site.