A case of symptomatic epiretinal membrane (ERM) is presented. The discussion revolves around key questions: 1. What do we know about this disease entity? 2. What is the traditional approach to symptomatic ERM? 3. What are the major complications of pars plana vitrectomy (PPV)? 4. Is there any technical solution available for increased safety during vitrectomy? 5. What are the advantages of wide-angle light probes? 6. How can dye-related chemotoxicity be reduced? 7. How non-contact wide-angle viewing systems could help during vitrectomy? 8. What were the results of a safe standardized approach to symptomatic ERM?