In the March/April 2004 issue of JWOCN, Laura Bolton's article on having a qualified WOCN in a healthcare setting and the effect of using an evidence-based and systematic approach to wound care was published. This seminal article was originally presented at the 2003 Annual Conference in Cincinnati, and its presentation stirred a frisson of excitement as being one of the few studies addressing the key issue of the relationship between staff expertise and quality outcomes. In this issue, 3 commentaries from WOC expert practitioners address the importance of not only the Bolton manuscript but also the responsibility of the WOCN to be proactive in documenting patient care and including quality assurance outcomes in that care plan. To do so provides the nurse with evidence of this value and provides the employers with legitimate arguments that highly qualified staff do, indeed, improve patient care. And, what is it that a WOCN education provides to take the nurse beyond a nonexpert registered nurse or nursing attendant? Clearly, informed clinical practice is forefront, but, in addition, it is the skills of the WOCN to be a critical thinker, testing practice and questioning standards. Only an expert practitioner can articulate the issues, and only an expert practitioner can take the evidence and build it into a wound care protocol. From critical questions come research questions, further testing of practice and, perhaps, practice changes. These are the skills that will take wound, ostomy, and continence care into the future and continue the improvement in patient care. I hope you will enjoy the 3 commentaries by Bernie Cullen, Mikel Gray, and Kristy Wright and take pride in your certification and accomplishment. It truly does make a difference.