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Medical students and state legislators are addressing the controversial practice of performing pelvic exams on unconscious patients without their consent, which often occurs when patients are anesthetized for surgery. Highlighted in early 2000s surveys, this issue affects sexual health training in medical education. While 21 states have banned the practice, it remains permitted in 29 states. Advocacy efforts are led by a medical student in Ohio pushing for legislation that mandates explicit consent for such procedures. The discussion includes insights from a bioethicist at McGill University, emphasizing the tensions between educational efficiency for teaching pelvic exams and ethical considerations around consent.