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Background: The publication of articles in peer-reviewed scientific journals is a fairly complex and stepwise process that involves responding to refereesâ comments. Little guidance is available in the biomedical literature on how to deal with such comments. Objective: The objective of this article is to provide guidance to novice writers on dealing with peer review comments in a way that maximizes the chance of subsequent acceptance. Methods: This will be a literature review and review of the authorâs experience as a writer and referee. Results: Where possible, the author should consider revising and resubmitting rather than sending an article elsewhere. A structured layout for responding to refereesâ comments is suggested that includes the 3 golden rules: (1) respond completely; (2) respond politely; and (3) respond with evidence. Conclusion: Responding to refereesâ comments requires the writer to overcome any feelings of personal attack, and to instead concentrate on addressing refereesâ concerns in a courteous, objective, and evidencebased way. (J Am Acad Dermatol 2004;51:79-83.)