To be or not to be – that is the question: Whether ’tis nobler in the mind to suffer the slings and arrows of outrageous fortune, or to take arms against a sea of troubles and, by opposing, end them. Thus goes Hamlet’s soliloquy in Shakespeare’s famous play. In our case; to x-ray or not to x-ray – that is the question. Since initiating practice in 1986 patients continue to ask this very question. Some doctors utilize x-rays known as ionizing radiation as part of a routine examination. I choose not to use x-rays for routine diagnostic purposes and reserve exposure when absolutely clinically necessary.