How Tobacco Harm Reduction can be a gateway out of smoking. Louise Ross managed the Leicester City (UK) Stop Smoking Service from 2004 to 2018. When vaping came along, she was initially sceptical, and was concerned about the risks and the problems it might bring. However, having met vapers at the first E-Cigarette Summit in London in 2013, she realised there was a huge potential benefit in embracing this new technology, and with her committed team rebranded themselves as the first ‘Ecig-friendly’ Stop Smoking Service. Since then she has celebrated the success of this initiative and vigorously challenges those who work against tobacco harm reduction.