Drs. Neda and Neda explore how modern refractive surgery is evolving beyond a one-size-fits-all LASIK model. They discuss next-generation laser vision correction based on highly personalized eye measurements, share real-world pearls on screening and counseling patients, and explain why they now frame patient visits as vision correction consultations rather than LASIK consults. They also touch on when lens-based options may be a better choice and how to build a truly comprehensive refractive practice.