We send over 20 billion emails a month on behalf of our customers. As a result, we manage hundreds of millions of "suppression" records that track when an email address is invalid as well as when a user unsubscribes or flags an email as spam. This way we can help ensure our customers are only sending email that their recipients want, which boosts overall delivery rates and engagement. We need to support two primary use cases: (1) fast and reliable real-time lookup against the list when sending email and (2) allow customers to search, edit, and bulk upload/download their list via API and in the UI. A single enterprise customer's list can be well over 100 million. Over the years as the size of this data started small and has grown increasingly we have tried multiple things that didn't scale very well. In the recent past we used Amazon DynamoDB for the system of record as well as a cache in Amazon ElastiCache (Redis) for the fast lookups and Amazon CloudSearch for the search function. This architecture was overly complicated and expensive. We were able to eliminate the use of Redis, replacing it with direct lookups against DynamoDB, fronted with a stripped down Node.js API that performs consistently around 10ms. The new dynamic bursting of DynamoDB has helped ensure reliable and consistent performance for real-time lookups. We also moved off the clunky and expensive CloudSearch to Amazon Elasticsearch Service for the search functionality. Beyond the high price tag for CloudSearch it also had severe limits streaming updates from DynamoDB, which forced us to batch them - adding extra complexity and CX challenges. We love the fact that DynamoDB can stream directly to ElasticSearch and believe using these two technologies together will handle our scaling needs in an economical way for the foreseeable future.