Oh, what a revelation! It turns out that sticking an endoscope up through the nose gives neurosurgeons a fantastic peek at the brain’s basement to play a high-stakes game of “remove the tumor without squashing the important bits.” And who knew?—Pituitary neuroendocrine tumors (PitNets, for those in the cool club) just love to throw a party in the sellar region, which is apparently a hot real estate spot for brain tumors.

But wait, there’s more! To become a maestro of this nasal spelunking, one must climb the Mount Everest of learning curves. Enter the brave souls of the EANS skull base section, 11 panelists who dared to complete a survey for the greater good. Their mission? To craft a consensus statement on how to approach these pesky pituitary adenomas endoscopically. Spoiler alert: it involves 44 questions that poke around in demographics, surgical techniques, and the ever-exciting world of follow-up management.

And because sharing is caring, these intrepid survey-takers have distilled their wisdom into tips and tricks for the endoscopic endonasal pituitary surgery. It’s like a cooking show, but instead of a soufflé, you’re trying not to botch a brain surgery. They’ve covered everything from the ABCs of surgical technique to the XYZs of anatomy variations, not forgetting a shoutout to the importance of having friends in high places (or at least in adjoining specialties).

So, if you’ve ever dreamed of navigating the nasal cavity with the finesse of a mini-submarine captain, this paper might just be your treasure map. Just remember, it’s all fun and games until someone loses a pituitary gland.