Choosing Wisely (CW) campaigns have spread around the world to stimulate conversations between physicians and patients about unnecessary tests, treatments, and procedures that account for up to 20% of all medical costs [1]. The Swiss Society of General Internal medicine (SSGIM) played a pioneering role by launching the “Smarter Medicine Choosing Wisely Switzerland” campaign with the first top-five list in 2016 and five additional items 2021 (Table 1) [2]. The present study examined how general practitioners (GP) working in a Health Maintenance Organization (HMO) agree with and report adhering to the Swiss Choosing wisely top-five lists of unnecessary interventions.