Dr. Prashant Penumadu speaks at the Choosing Wisely Meeting & BMC Conclave about the management of gastric cancer, which primarily relies on surgical intervention. He discusses the ongoing debates around the best surgical techniques, noting the high incidence of gastric cancer in India, particularly in urban areas. Dr. Penumadu reviews surgical options, including endoscopic resections and various gastrectomies, with differing perspectives on omentectomy and lymphadenectomy. Current guidelines recommend D1 and D2 lymphadenectomy, while neoadjuvant and adjuvant treatment approaches vary globally. He also highlights emerging chemoimmunotherapy for select patients and the improved survival outcomes seen with multivisceral resections.