Post-banding ulcer bleeding (PBUB) is a potentially catastrophic complication of endoscopic band ligation (EBL) for portal hypertension–related varices. Despite its clinical relevance, PBUB has been inconsistently defined, variably reported, often difficult to distinguish from early rebleeding, and inadequately addressed in contemporary management algorithms. In this issue, de Brito Nunes et al. provide important data clarifying the incidence, risk factors and prognostic implications of PBUB.