While health-related problems have a definite and identifiable effect on patients, the patients’ families are also very much affected. This may reach such a level of intensity that the patient will present to a physician because their family desires that they be evaluated and treated. Most clinicians would agree that sleep apnea is one of those conditions that stimulates familial assertion. The dynamics and repercussions of these encounters on the doctor- patient relationship and the doctor-family relationship may be staggering. The willingness and compliance of a patient with treatment may be a result of familial coercion.