Why does a patient's sense of control matter in case acceptance? Because perception of control drives the decision. The research is clear. When people feel they are in control, they are far more likely to make a choice, and more likely to make a positive one. The moment anything casts doubt on success, their perceived control drops and so does their ability to decide. So I only put predictable treatment options in front of a patient, and I say so out loud during the discussion. I will tell them plainly that I would only do this for a friend or family [...]