The 75th Annual Meeting in Houston attracted large submissions of abstracts for consideration as technical presentations. This created an interesting dilemma for the organizing committee—whether to accept more papers than has been customary and expand the program, or limit the number of accepted papers and keep the number of parallel sessions roughly the same as in previous recent exhibitions. In the end it was decided that more parallel sessions would be detrimental to the overall success of the Technical Program, causing more conflicts for the attendees interested in several areas of expertise, and generally “lowering the bar” for acceptance of abstracts. The result was an unusually high rejection rate for abstracts (in some areas of submission this was as high as 50%), but a level of paper which was suited for such an auspicious event. In the end a program of nearly 700 papers was put together which included both oral and poster sessions.