The article by Marrs et al regarding wound complication rates in obese patients highlights a concern that is shared by most obstetricians. This and other studies that have assessed cesarean incisions in obese parturients mostly compare transverse with vertical incisions. None appear to assess transverse incisions that are made above the pannus, which consists of a supraumbilical transverse approach. Owing to the dependent pannus, this location happens to be over the lower uterine segment. It is a technique that was described initially in the literature by Tixier et al in 2009 but has been taught for >30 years to residents and fellows by Robert J. Sokol, MD. Many patients and their obstetricians in the Detroit metropolitan area have benefited from its use. The “Sokol” incision avoids cutting through the pannus, which is a limitation of both vertical and horizontal approaches that were described in the article by Marrs et al. It completely avoids the dark, warm, and moist area beneath the pannus that is a nidus for infection. Obstetricians and their assistants also avoid the strenuous difficulty that is involved with retracting the pannus. As the authors contemplate a prospective study on skin incisions for morbidly obese patients, they may wish to consider the “Sokol” incision.