The W incision can be regarded as a self sealing incision with an additional posterior flap. For cataract surgery, the flap can be used to add further stability to the incision whilst for combined glaucoma surgery it can also be used to "cover" a trabeculectomy located underneath. Up to now, 14 eyes underwent a combined cataract and glaucoma surgery using the W incision. In this article the short term postoperative results and advantages of this new technique in combined cataract and glaucoma surgery are discussed.