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Neil Winger, a primary care physician and member of the UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document that allows individuals to specify their wishes regarding medical treatment if they are unable to make decisions for themselves. This situation may arise if a patient is too ill or unconscious and unable to communicate with their physicians. In such cases, it is crucial to designate a surrogate decision-maker, such as a spouse, sibling, or friend, who will communicate the patient's preferences to the healthcare team. Advance directives ensure that medical care aligns with the patient's values and desires, even when they cannot advocate for themselves.