All submissions to PPAM are first reviewed for completeness and only then sent to be assessed by an Editor who will decide whether they are suitable for peer review. The peer review usually involves review by at least two independent, expert peer reviewers. The Editor will consider the peer-reviewed reports when making a decision, but is not bound by the opinions or recommendations therein. A concern raised by a single peer reviewer or the Editor himself may result in the manuscript being rejected. Authors receive peer review reports with the editorial decision on their manuscript.