Ruben Mesa, MD, Mays Cancer Center at UT Health San Antonio MD Anderson Cancer Center, San Antonio, TX, discusses the direction in which myeloproliferative neoplasm (MPN) therapy is headed, mainly focusing on approaches for the identification of high-risk patient subgroups and for subsequent early intervention. Dr Mesa talks on the use of ropeginterferon for the early intervention of essential thrombocythemia and polycythemia vera to manage symptoms and to halt disease progression in both high- and low-risk patients. In the case of myelofibrosis, combination therapy with agents including JAK inhibitors, LSD1 inhibitors, and BCL-2 inhibitors, are likely to be the standard. This interview took place at the Texas MPN Workshop: Second Annual Workshop and Meeting in 2021.