Otolaryngology residents would benefit greatly from undertaking systematic reviews of knowledge during training. Undertaking a systematic review allows for the acquisition of skills in electronic searching, research methodology, critical appraisal, and statistical analysis. Even when reviews have inconclusive findings, they may be of tremendous value in providing a firm foundation from which to embark on a new research project. Understanding the extent of the evidence base in our specialty and how it is synthesized, greatly empowers the surgeon. This allows the uncertainties of patients and the concerns of health resource managers to be addressed.