The concept of informed consent is revisited in the light of the new development toward the model of "shared decision making". Consenting practice is not a defense against ligation or a formal procedural step, but it represents a process for helping patient to make a choice through a new relationship in which clinicians and patients work together using clinical evidence and patient’s informed preference. Shared decision making is considered an ethical imperative, but is not yet the norm. Validated decision supports and training are needed for its implementation.
Keywords: Informed consent, consent form, ligation, shared decision making, decision aids, implementation