I read the recent publication on fate of rejected paper with a great interest [1]. In this work, Dewan, et al. concluded that "Rejection of a manuscript by IP does not preclude publication, but rejected manuscripts are published more often in non-pediatric journals or journals with a lower impact factor, although the occasional exception exists’ [1]. Indeed, this might reflect the nature of the authors who usually take the challenge by submitting the papers to high impact journals. The interesting point is whether the recommendation/suggestion from the first journal is useful for modification or revision of the papers before submitting to the new journals. Another interesting point is why there is difference in the decisions on the submitted papers by two different journals.