Lately I have been reading a lot about some of the shortcomings of peer review and some of the various attempts to reform and modify it. I do not think I would want to live in a world without peer review. Reviewing done well keeps bad science out of journals and provides feedback that can improve a paper before publication. However, it is not always done well. Reviewers often disagree about the merits of a paper, reviews vary widely in quality, and it does not always work. Fraudulent studies make it through. Some of the most famous papers in history were rejected multiple times. Reviewers are usually unpaid volunteers. A good reviewer will spend hours of uncompensated time reviewing someone else's paper. A bad reviewer will write a short vitriolic review personally attacking the authors. Imagine you were in charge of a new journal and had free reign to implement any kind of peer review system you wanted. You can even choose no peer review. How would you implement peer review at your journal? Would you try to come up modifications to make it more objective and efficient or is peer review as commonly practiced the best of the imperfect options that are out there?