This point/counterpoint examines triage of patients with acute stroke for endovascular therapy. Point—Moving Toward MRI-Based Acute Stroke Triage: https://www.ajronline.org/doi/10.2214/AJR.24.31303 Counterpoint—Using Simplified Neuroimaging: https://www.ajronline.org/doi/10.2214/AJR.24.31233