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The presentation will explore the evolution of consent in common law from the 1950s case of Berlin to the current Montgomery case. Key cases will be reviewed, emphasizing that healthcare providers must inform patients about material risks and reasonable alternatives relevant to their specific circumstances. A notable case from 1993 involving a patient with chronic schizophrenia refusing a life-saving amputation is referenced, highlighting expert input from forensic psychiatrist Professor Eastman, who established criteria for assessing patient capacity. The main takeaway is the importance of individualized communication of risks and options to patients.