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In this video, Buck discusses the variability in surgical procedural consent requirements across different hospitals and their administrations. He emphasizes the importance of understanding these differences for healthcare professionals, including nurses, PAs, NPs, and medical students. Buck notes that consent procedures can vary significantly; sometimes a doctor must complete the consent, while in other cases, a patient must sign in the presence of a witness, typically a nurse or other healthcare provider. He stresses that these variations are crucial for all involved in the preoperative process to recognize, given his experiences in multiple hospitals.