To summarize a definition of informed consent let us look to a listing of the following elements which are necessary for a complete definition of informed consent: 1) # the nature of the decision/procedure; 2) # reasonable alternatives to the proposed intervention; 3) # the relevant risks, benefits, and uncertainties related to each alternative; 4) # assessment of patient understanding; and 5) # the acceptance of the intervention by the patient. This list provides a thorough and complete understanding for the patient and also for the doctor which will in turn provide for the best possible care. Informed consent is not needed in every situation. Generally, when surgery, anesthesia and other invasive procedures are involved, informed consent is needed. In situations where informed consent is not needed, it is still important for the lines of communication to be open and working between the patient and the doctor. The patient should not be afraid to ask questions and the doctor should not be annoyed with having to answer them.