Dear Editor, Obtaining informed consent is a fundamental aspect of medical ethics to protect patients’,autonomy and human dignity. An adequate practice of informed consent is complex and has not only personal but also ethical, legal, and administrative implications. 1 This may mean context-specific adaptation, particularly in the field of obstetrics and gynecology. Medical specialists must ensure that the provided information is according to the patient’, s mental capacity, and that they are aware of what medical examination entails, and what a particular diagnosis means. Moreover, if there are treatment alternatives, what are the expected benefits, potential complications and risks, the consequences of refusing treatment, and medical costs? 2 For instance, in the case of cesarean delivery on maternal request, physicians should point out the safety of normal vaginal delivery and describe potential complications and risks of the intended surgery including side effects of anesthesia, wound infection, thromboembolism, abnormal adherence of the placenta (placenta accreta) or abnormal invasion of the placenta (placenta increta and percreta), which may lead to hysterectomy and blood transfusion. Patients should also be made aware that some insurance companies may not cover the costs of surgery without an obstetric indication for a cesarean section. Given the above, patients should be able to opt for a medical procedure freely and voluntarily without any threats or coercion. . .