EDITOR, - Flannelly and colleagues,1 Soutter and Fletcher,2 and Hammond3 all recommend immediate colposcopic referral for mild dyskaryosis. This policy would have significant implications for the colposcopy workload, and although immediate referral would reduce the volume of pre-colposcopic surveillance, colposcopy itself often leads to frequent follow up smears. Selective referral according to smoking habit is an increasing possibility and might have public health benefit. In any event, continuing education about cervical screening and the importance of not defaulting is vital. Most cases of …