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The key medical legal issues currently include: 1) Poor documentation in medical records, particularly regarding the rationale for treatment decisions; 2) Inadequate informed consent, which is increasingly significant; and 3) Delays in treatment, where vascular surgeons often face scrutiny due to delays in referrals from primary care. The focus on informed consent has notably evolved following the 1995 Montgomery ruling in the UK, which replaced the Bolam test of acceptable practice. This ruling emphasizes a more patient-centered approach to informed consent.