Eliminating cervical cancer is about more than just spending money. It requires reckoning with the many intangibles that get in the way of this cause. Widespread adherence to patriarchal value systems, for instance, not only threatens women’s health and well-being, but discourages them from freely pursuing the means to a cure. Persons with cervixes must confrontnot only archaic notions about their worth, but also many other hidden barriers to prevention. These include the fear and superstition that arise from lack of knowledge and medical misinformation, a lack of appreciation for self-care, the burden of unpaid work, and the vulnerability resulting from racial and gender inequality. Challenging these societal factors will increase the volume of women’s voices and ultimately save thousands of lives. But until society is ready to acknowledge and address these barriers – the patriarchal structures thwarting women’s autonomy and decision-making power, the stigma associated with this disease, the religious intolerances and traditional values contrary to its prevention – a cancer that strikes only those with a cervix will continue to kill.

Refractory epilepsy from operculoinsular origin is increasingly recognized because of published descriptions of its clinical presentations, more attention in the interpretation of non-invasive focus localization techniques, and the development of invasive electrode implantation schemes to sample that area. Microsurgical techniques of operculo-insular cortical resection have been refined, taking into consideration the complex and deep anatomy and the high vascularity of the perisylvian area. Selective transsylvian and/or subpial transopercular insulectomies are performed, depending on the definition of the extent of cortectomy needed and the functional areas to preserve. Seizure control results after surgery are similar than those in other brain locations. Neurological complications and neuropsychological consequences are acceptable. It is crucial that these highly selected patients be investigated and operated in epilepsy centers dedicated to this complex type of refractory epilepsy, both to optimize the results of seizure control and keep the complication rate as low as possible.