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This presentation delves into the collaboration between the American College of Surgeons, Commission on Cancer, and the Alliance, focusing on advancing cancer surgery standards. Dr. Linda W. Martin highlights the introduction of the Cancer Surgery Standards program, emphasizing the importance of lymph node assessments in lung cancer surgeries. Key points include the simplified "one plus three" rule, insights from relevant studies, and challenges in compliance and communication between surgeons and pathologists. The talk provides a succinct overview of the ongoing efforts to enhance the quality of cancer surgery, offering a glimpse into future standardized reporting and educational resources for widespread adoption within the surgical community.