As a clinician that dry needles and sees the immediate effect, I do not feel that a doctor who knows nothing about dry needling should have the power to determine if we should be allowed to use a technique we have been formally trained to use. At what point is our profession going to stop letting others dictate how and when we do our jobs. This training for dry needling was extensive and expensive and I use it daily in my practice and often just because the guidelines require a doctors "say so" my clinicians and I take the necessary measures to implement this modality. The next step is making sure we are properly reimbursed as most patients pay out of pocket for this highly effective treatment.