Significant “gray areas” exist in the doctrine of medical disclosure. A difficult issue for physicians is whether to disclose a medical error that did not cause harm to a patient (a near miss in aviation parlance), either because the error was detected and corrected in time or because the patient was just plain lucky to escape injury. There is currently no consensus about whether to disclose near misses to patients, although institutional quality care reviews should in general include near misses as well as actual events in their analysis. Disclosing minor, clinically inconsequential errors to patients is probably unhelpful and unnecessary. What should physicians tell patients of other physician's errors? When should physicians tell patients of a manufacturer's problems with implanted medical devices or rare new side effects with medications in which there is a small statistically increased risk of failure or harm to the patient but the likelihood of personal injury is slight? There is no easy, one answer that will fit all these situations, but in general physicians should error on the side of transparency and full disclosure to their patients. Maybe we should ask how we would like to be treated if and when we are the patient? It is also well to remember that medical information is freely available on the Internet including PUBMED, the US National Library of Medicine Web site (http://www.ncbi.nlm. nih.gov/PubMed/), and most medical journals are now easily accessible to patients and their families. The dark days of medical secrets are truly long gone.