Case 1. Dr. G.H., a 55-year-old plastic surgeon, has been doing cosmetic surgery for a number of years. He has stressed "informed consent," employing a variety of techniques to communicate with his patients, about the proposed procedures, risks, benefits, alternatives and the option of doing nothing. He uses print materials, photographs, videotapes and other devices.

Despite these efforts, he has been twice charged with "failing to inform" in connection with less than ideal outcomes. In both instances, a panel of his peers has judged him not only abiding by but also exceeding the standard of care — whether it be defined as the "community standard of professional practice" or the "reasonable man alternative" (providing information so that a reasonable man can decide).

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