Surgical treatment of chronic pancreatitis has recently evolved to a new stage of development. Improved imaging techniques have facilitated the development of surgical procedures which are tailored to the predominant structural abnormalities of the pancreas. This issue presents the state of surgery for chronic pancreatitis. The principal indications for surgical intervention is intractable pain. Both established and more recently developed procedures for pancreatic resection and drainage of the main pancreatic duct or pseudocysts receive coverage, with special attention given to the newer procedures which aim to remove the lesion primarily responsible for symptoms, while preserving maximum residual pancreatic function as well as the integrity of adjacent organs.
