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In this video, Buck discusses the variations in surgical and procedural consent across different hospitals and administrations. He emphasizes that the consent process can differ significantly, affecting healthcare professionals like nurses, physician assistants, nurse practitioners, doctors, and medical students. Buck draws on his extensive experience in various hospitals, noting that sometimes a doctor must sign the consent, while other times it requires only the patient's signature with a witness, often a nurse or other preoperative staff. Understanding these differences is crucial for healthcare providers navigating the consent process.