The article below summarizes a roundtable discussion of a study published in this issue of the Journal in light of its methodology, relevance to practice, and implications for future research. Article discussed: Hamilton EF, Smith S, Yang L, et al. Third- and fourth-degree perineal lacerations. Defining high-risk clinical clusters. Am J Obstet Gynecol 2011;204:xx-xx. The full discussion appears at www.AJOG.org, pages e1-XX.