Despite agreement that prospective randomized controlled trials offer the best available evidence to guide our practice, there is a remarkable lack of prospective trials in neonatal surgical literature. We, the treating physicians, are responsible for conducting the research that will allow for evidence upon which better care may be based. We have an ethical obligation to provide the highest level of care based on the greatest level of evidence possible. This will only be possible with further prospective trials in fetal and neonatal surgery.

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