The SASOG Exco has approved a “risk reducing” approach and the idea is to reduce Obstetric and Gynae risk by adhering to proven principles of care. The BetterObs initiative was started to improve care to patients, to ensure optimal outcomes and to keep colleagues out of court. The risk reduction strategy is a continuation of these efforts. Through these efforts we hope to be able to approach insurers (in future) to recognize risk reduction and to empower individual colleagues, with proven low risk behavior, to negotiate lower insurance premiums in line with their lower risk behavior. This is where the SASOG data (for individuals) could prove very helpful. The implementation of this strategy is still under discussion, but hopefully these efforts will ensure sustainability of our brittle discipline in the long run. Initial discussions with some role players in the insurance field have been very encouraging regarding rewards for lower risk behavior.