Sigmascreening recently announced that a study of in total 15,898 in digital mammograms from 3,772 Asian women underlines the need for compression guidelines. The study confirms a number of other studies indicating that a force-standardized protocol leads to large variations in compression practices. This has serious negative effects on patient experience and the efficacy of mammography. Therefore, pressure-guided mammography with the Sigma Paddle, which is taking breast size into account, may lead to improved test results and less unnecessary discomfort and pain especially for Asian women.