Abdominal auscultation represents a fundamental part of the clinical examination, especially in patients with gastroenterological complainants [1]. However, over the last years, many divergent views have emerged on the value and utility of abdominal auscultation in daily clinical practice. As well known, both physiological and pathological bowel sounds are generated by peristaltic contractions [2]. Despite the ability to perform a complete and adequate physical examination is still an essential part of the medical education, medical schools often teach in different way how to listen to the bowel sounds.