Sensitivity to cultural values must always be an important consideration when obtaining informed consent, and the United States, which is a country of immigrants, is increasingly a multicultural society. Importantly, many cultures place family values above those of the individual and do not value the individual decision making that has become common practice in the past half century. For example, it is considered an insult in some Arabic cultures if the physician asks the patient to sign a consent document.16 It is essential to understand the culture of a patient and, if necessary, meet the patient privately, perhaps with the help of an interpreter, to determine what information the patient wishes to know and how the patient wishes the consent process to proceed. Do not use family as interpreters because they may not accurately express the patient’s wishes. If patients choose to allow their spouses, family, or elders to make decisions on their behalf, then they have expressed their autonomous wish to allow others to make these decisions.