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In this tutorial, the evolution of common law regarding consent is explored, tracing its development from the 1950s Berlin case to the recent Montgomery case. Key points include the necessity of informing patients about material risks, reasonable alternatives, and tailored information relevant to the patient’s situation. The discussion references a significant 1993 case involving a mentally ill patient refusing a life-saving amputation. Expert testimony from forensic psychiatrist Professor Eastman established defining criteria for assessing patient capacity. The presentation emphasizes the importance of ensuring that patients receive comprehensive and individualized information to make informed decisions about their treatment.