Your practice is in need of a translated patient education pamphlet on how to use a metered-dose inhaler. Where do you begin in order to meet this need? You are satisfied with the material you have on this subject; however, it is not in the language of a number of your patients. Unfortunately, it is not as simple as asking someone who speaks the language to translate it. It is crucial to recognize that “ Differences between cultures may cause more severe complications for the translator than do differences in language structure.”1 An important message could be lost in the translation if cultural nuances are not taken into consideration.