As a urologist practicing in northwest Ohio, I am gravely concerned by the new recommendations of the U.S. Preventive Services Task Force (USPSTF) against prostate-specific antigen (PSA) testing. These recommendations do a great disservice to men around the country, particularly those with a higher risk of the disease (i.e., African American men, those with a family history of the disease, those who are underinsured and those who live in rural areas with limited healthcare access).