Performing immediate sequential bilateral cataract surgery (ISBCS) offers plenty of potential benefits. Surgeons appreciate being able to halve post-op visits while providing cost-effective patient care. Surgery center administrators value the boost to operational efficiencies and freeing up slots on the schedule for more cases. Patients love the convenience of having to plan around and endure only one surgical experience. There’s a lot to like about performing back-to-back procedures on the same day, but significant barriers are preventing it from becoming routine.