The literature on NEC (necrotizing Enterocolitis), especially in the major textbooks, merely recapitulated what had been written in the past; there has been no new guidance. NEC was viewed as a fait accompli; a sometimes-dire disease that was to be confronted only after it reared its perfidious head. This monograph asks the reader to rethink their approach the NEC. Although, there are no compel others to pursue a way to intervene before the die has been cast. Thus, this book is a promissory note and a challenge.