This issue of European Urology contains a provocative manuscript with a proposal from the European Association of Urology Prostate Cancer Centre Consensus Meeting on European prostate cancer centers of excellence [1]. Composed of recognized European leaders in urologic oncology, the group argues in favor of three `steps` to define centers of excellence and a regulatory approach to ensure adherence to the inclusion criteria. What exactly are the authors attempting to do and are they likely to achieve their goals?