Abstract
The process of consent for surgical procedures has undergone a fundamental change since the landmark Montgomery vs Lanarkshire Health Board Case. The judge in that case determined that consent should focus on the risks that are material to the patient, and not purely those that a body of expert opinion feels are prudent to mention. This is a change from a paternalistic to a patient-centred approach. Ideally the consenting process should be done by the operating surgeon, or other doctor who has adequate knowledge of the risks and potential complications of the procedure. Taking consent is a process that occurs over several patient contacts, rather than being a singular consenting event. In this article we discuss several of the particular risks of each foot or ankle procedure and their relative incidence, as well as providing guidance regarding optimizing the consent process.
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