Although its history is short, peer review has fast become a fixture of journal publications acquiring the status of a ritual in the academia. Many relevant and important issues have been raised leading to doubts about the value of peer review. The advent of electronic publishing further threatens the future of peer review. For peer review to continue to be helpful and useful there is a need to restore it collegiality among the editors, peer reviewers, and authors. Three critical conditions to enhance this are trustworthiness, timeliness, and tactfulness.