Cystic tumors of the pancreas are an increasingly recognized clinical entity, and the management of these lesions continues to evolve. The Society for Surgery of the Alimentary Tract, American Gastroenterological Association, and American Society for Gastrointestinal Endoscopy recently held a "state-of-the-art" conference to discuss the current recommendations for diagnostic evaluation and clinical management of pancreatic cystic tumors. In this article, a brief review of the conference and important teaching points presented at the conference are highlighted.