How to respond to reviewer comments

By Dr. Rafiq Muhammad, MD, PhD · Updated June 2026

A “major revisions” decision is good news that feels like bad news. The editor sees promise and is giving you a path to acceptance — and the document that walks you down it is the response letter: a point-by-point reply to every reviewer comment. Reviewers and editors often weigh the letter as heavily as the revised manuscript, so treat it as part of the writing, not a chore.

The point-by-point structure

  1. Open with thanks. A brief, genuine note that the comments improved the paper — then get to work.
  2. Reproduce each comment verbatim, grouped by reviewer and numbered.
  3. Respond to every one — no exceptions. State what you changed.
  4. Point to the change — the section, page, or line in the revised manuscript, so the editor can verify it in seconds.
Reviewer 1, Comment 3: “The sample size justification is unclear.”
Response: We thank the reviewer. We have added a power analysis (Methods, p. 6, para 2) showing the sample of 84 gives 80% power to detect d = 0.5 at α = .05.

When you disagree

You’re allowed to push back — but respectfully and with evidence. Acknowledge the point, explain your reasoning with references or data, and offer a compromise (add a limitation, clarify the text). What you must never do is ignore a comment or answer curtly — an unanswered or dismissive reply hands the editor a reason to reject.

Tone and the things that get papers accepted

Before you reply, turn the decision letter into a worklist. The free Feedback Triage tool converts reviewer, supervisor, and editor comments into a structured, prioritised action plan — so nothing slips and every point gets a response.

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Frequently asked questions

How do I respond to reviewer comments?

A point-by-point letter: quote each comment, state what you changed, and point to where in the manuscript. Address every one.

What if I disagree?

Push back respectfully with evidence, and offer a compromise. Never ignore or dismiss a comment.

What does “major revisions” mean?

The editor sees promise but wants substantial changes — an opportunity, not a rejection. Most are eventually accepted.

How should I organise the response?

Group by reviewer, number each comment, reproduce it, and respond below — with the location of every change.

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