The two letters1 ,2  describing individuals’ different techniques for implant removal that have appeared in recent issues of this Journal are timely. Routine removal with or without refit is common practice throughout the UK as implants have become widely available and popular. It is not yet clear whether introduction of Nexplanon^® (MSD, Hoddesdon, UK) will lead to fewer difficult removals. It is evident from the aforementioned letters and conversations between clinicians that diverse and innovative approaches have evolved for fit and removal. These letters are therefore relevant as they highlight the need to recognise …