A new OBGYN attending needs to make many decisions to avoid surgical complications. Appropriate case selection can help reduce the risk of complications and improve patient safety while still help build confidence in shaping a practice. There may be specific procedures to avoid at first. Whether 24/7 subspecialties intraoperative surgical consults are available may be a consideration when scheduling a complicated endometriosis case. Individual patients may also present with their unique challenges, and it is acceptable and smart to defer extremely difficult cases to a more experienced surgeon. It is a good idea to successfully complete as many straightforward cases as possible to establish routine in the operating room. Be judicious about choosing the appropriate route of surgery. If the case calls for converting to open, convert early. If the case calls for doing it open from the start, do it open. Appropriate case selection requires good common sense. Make decisions with the patients in mind.