The Frey procedure (pancreatic head coring with longitudinal duct drainage) provides sustained pain control for selected patients with chronic pancreatitis. The single-center cohort by Eppa et al. , published in the recent issue of the Euroasian J Hepatogastroenterol discussed in this letter, long-term follow up showed marked and durable reductions in validated pain scores and improvements in health-related quality of life measures. However, exocrine and endocrine insufficiency continued to prog