Many educators find themselves in a bind when it comes to initiating new tobacco-intervention programs. On the one hand, the clock is ticking and parents and community members are expecting schools to move quickly to help teen smokers. There is pressure on educators to adopt programs that signal they are on track with the country's anti-smoking mandate. On the other hand, moving too quickly, without an assessment of what may be missing in current intervention programs, may result in adopting program models that, in the long run, fail to solve the teen smoking problem. This chapter serves as a reminder to educators to proceed with caution and look at the downside of current programs and what may be missing from them before they act.