The present review article details developments in medical writing and the ongoing transformation of the scientific medical press. With these twin revolutions, French-language scientific medical journals are at a crossroads: are they going to become vehicles of teaching, of popularization, of liaison between members of medical societies, of general public information contributing to decision-making in the field of public health? Or will they maintain their scientific status? Under certain conditions, a move toward French/English bilingualism could be the solution to maintain and advertise their scientific level, while contributing to the quality of medical teaching in French and to the worldwide influence of the French language.