A few years ago, I was visiting an old friend, a Medical School classmate, who lives in the UK. We had turned 50, and per the National Health Service guidelines, she was eligible to register for a 3 yearly screening mammogram. She had seen several friends go through this process, and be found to have DCIS (a non invasive precursor of the real culprit), and go through lumpectomy, radiation and hormonal intervention. The discussion of the reasonable management of DCIS is a topic for another day. She was reluctant to get sucked into the vortex, and was seriously considering not registering for her screenings. This led to a discussion of the real value of screening mammograms. I was reminded of that discussion as I read the update on the screening recommendations in the NEJM of June 11, 2015.