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We reviewed the guideline rating table in the synopsis, which rated the external review process as fair and the updating process as poor for this guideline. The tinnitus clinical practice guideline, like all guidelines developed by the American Academy of Otolaryngology–Head and Neck Surgery Foundation (AAO-HNSF), followed a defined, published process that includes extensive review as well as plans for updating each guideline in a timely manner.3 The review process for this guideline included internal implementability assessment, external stakeholder review from multiple disciplines, open public comment, and editorial peer review, each of which led to many comments and substantive edits in the draft guideline prior to publication. This tinnitus guideline was published less than 2 years ago, and the document explicitly stated the plan to update in 5 years (unless new literature is published that would change the guideline recommendations). This is consistent with Institute of Medicine standards.4 We suggest that the external review process for the tinnitus guideline be rated as good and the updating process as fair based on the criteria for rating in these types of articles.5 The authors of future synopses of AAO-HNSF clinical practice guidelines can refer to the AAO-HNSF guideline development manual for details that will assist in completion of the guideline rating table used in the synopses.