Patients are hardly communicated for their pattern of treatment, unless and until one shows anxiety to know about it. Informed choice for the treatment is conspicuous by its absence, as patients are hardly informed and in turn patients also think that it is the doctor who is the most competent person to look after the treatment. Treatment process cannot be viewed without the patient involvement in the process of interaction. Patient should occupy the centre stage. The serious issues of treatment should not by pass the patient but it should be a matter of available choices.