Treatment is the endpoint for which any patient approaches a doctor and the ever-expanding technological advances in today’s medical world throws up a plethora of options by which each problem can be handled. We consider that it is the responsibility of the treating doctor to give a frank explanation of all available treatment modalities for the patient’s problem, not concealing even the ones that cannot be accessed in his department. Thus the patient gets due involvement in the treatment planning process, with a reasonable understanding of the success rates, limitations, non-operative options, cost-effectiveness and long term outcomes of the chosen treatment.