Plurad DS, Geesman G, Mahmoud A, et al. - In previous literature, it has been inscribed that transfer to a Level II vs Level I trauma center is associated with increased mortality for traumatic brain injury (TBI). Researchers here examined how the most recent American College of Surgeons–Committee on Trauma (ACS‐COT) “Resources for the Optimal Care of the Injured Patient” resources manual (“The Orange Book”) affected outcomes after severe TBI after interfacility transfer to Level I vs Level II center. Using the Trauma Quality Program Participant Use File of the American College of Surgeons admission year 2017, they identified 10,268 (71.6%) patients transferred to a Level I center and 4,025 (28.4%) transferred to a Level II center. In this study, patients with isolated TBI transferred to a Level II vs Level I center exhibited no mortality discrepancy despite prior contrary evidence and hence yielding no reason to bypass a Level II in favor of a Level I. This relative improvement may relate to the novel requirements as defined in the latest version of the ACS‐COT’s resources manual.