Updated global consensus on diverticular disease sets clear treatment pathways for better patient outcomes.

• High fiber intake protects against symptoms; smoking, obesity, certain medications increase risk.
• Acute diverticulitis imaging: ultrasound can work in skilled hands, but CT remains the gold standard for complications.

Shift focus to individualized surgical approaches aimed at improving quality of life rather than just reducing flare-up frequency.

• Routine antibiotics are not advised for acute, uncomplicated cases.