The European Group on Grave  s ’ Orbi topathy (EUGOGO) was established in order to promote better clinical care of patients with Graves’ orbitopathy (GO) (1, 2) and to facilitate research in this disease. EUGOGO believes that patients with GO should be managed in multidisciplinary clinics with input from endocrinologists and ophthalmologists, who have an interest and experience in managing this disease (3). Although the expertise of the clinicians is critical and the setting perhaps less so, evidence from other clinical disciplines would suggest that a dedicated multidisciplinary clinic results in better outcomes (4, 5). EUGOGO is aware that many patients with GO in Europe never reach specialist centres or are referred too late to benefit from treatments (6), which results in a suboptimal outcome and sometimes loss of vision. EUGOGO recommends that primary care physicians, general practitioners, general internists and specialists, who have no particular expertise in managing such patients, should refer all but the mildest cases of GO to tertiary centres with established multidisciplinary clinics for further assessment and management. Selecting which patients should be referred and with what degree of urgency, is challenging for the generalist. EUGOGO proposes a simple clinical tool, which can be completed in less than 5 minutes by any medically qualified person and can help to identify patients who merit urgent or routine referral