Simultaneous bilateral cataract surgery (SBCS) is steadily growing in popularity worldwide. So much so that in September 2008, some of its practitioners formed the International Society of Bilateral Cataract Surgeons (iSBCS) to share information and promote safe procedures in SBCS. At the same time, bilateral cataract surgery has become the subject of heated debate. Since we routinely perform bilateral LASIK, bilateral strabismus surgery and generally bilateral "whatever needs to be done" in medicine and surgery, why is there such a fuss over immediately sequential bilateral cataract surgery (ISBCS)? Sometimes if we try to look at a problem or issue a bit differently, from another angle or in a different context, we gain new understanding. Let's try in this case. What are the real issues here? Why are proponents of both sides of the argument so adamant? Are we missing something? Why are some of us moving to ISBCS? It seems that we finally have delayed sequential bilateral cataract surgery (DSBCS) down to a fine system with few complications, so what's the problem?