This article discusses a study on factors influencing blood transfusion in adolescent idiopathic scoliosis correction surgery. The authors raise concerns about certain aspects of the study's methodology and analysis. They highlight the need for standardized protocols for fluid management, including the use of esophageal doppler monitoring. The authors also question the exclusion of certain known risk factors from the statistical model and suggest that further research with a larger sample size is needed. Overall, caution should be exercised when applying the current findings in clinical practice.