There is increasing involvement of patients participating in difficult decisions related to their health interventions, like whether or not to have surgery. Such patients must be informed about their treatment options and the risks and benefits that go along with each so that they can apply their preferences in making the decision. This process can be problematic in surgical clinics where time with patients is limited. Helping surgeons educate patients and incorporate the patient’s preferences into the treatment choice is a major challenge that requires research and guidance.