Callahan AF, et al. - Experts aspired to explore whether surgical intervention in patients with local, regional, and metastatic gastric carcinoid was associated with prolonged survival. They identified 1012 subjects with a diagnosis of gastric carcinoid. In patients with both local and regional disease, prolonged survival was related to gastric surgery. The most significant predictor of overall outcome was the biology of the disease. When technically feasible and where comorbidities allow, aggressive endoscopic or surgical intervention should be offered for local and locoregional diseases, respectively.