Complaints of professional misconduct are usually first prosecuted in the Hearing Department of the State Bar Court. If the lawyer disagrees with an adverse decision, he or she may appeal to the Review Department of the State Bar Court, and from there to the state supreme court. Although the State Bar Court's decisions are technically only recommendations, the distinction is largely academic. Failure to comply with conditions imposed as part of any form of lesser discipline short of disbarment can itself result in a recommendation of disbarment, which is virtually always ratified because the attorney's noncompliance with the State Bar Act will have been clearly established by that point.