There persists an intense debate on whether or not the traditional reference desk should be in academic libraries. Yet, despite many anti-desk studies, the place of the reference desk still remains. This paper aims to review the current significance of the reference desk for some libraries, as well as the importance of choosing the proper reference model that fits each institution. Furthermore, it points out that eliminating or reforming the reference desk requires careful analysis by both librarians and administrators. The paper also characterizes reference service at the National Medical Library of Cuba.