Informed Consent in Medical Treatment

Source: National Medical Commission (NMC) Regulations on Professional Conduct, Etiquette and Ethics, 2023, Regulation 5; Consumer Protection Act, 2019; Samira Kohli v. Dr. Prabha Manchanda, AIR 2008 SC 1385

Written in plain language to promote general understanding. This is educational information, not legal advice. Based on Indian central (Union) law — Constitution of India, central Acts of Parliament, and Supreme Court decisions.

Indian Central Law

What is this right?

No medical procedure or surgery can be performed on a competent adult patient without their free, informed, and voluntary consent.

  • Informed consent requires that the patient is told:
    • The nature of the illness or condition.
    • The proposed treatment or procedure and its purpose.
    • The material risks involved (including anaesthesia risks, side effects, and the risk of death).
    • The alternatives available (including doing nothing).
    • The consequences of refusing treatment.
  • Written consent form: NMC Regulations require written consent before invasive procedures — the form must be explained to the patient, not just handed for signature without explanation.
  • Samira Kohli ruling (2008): The Supreme Court held that performing a procedure beyond the scope of consent (e.g., additional surgery not agreed to) is actionable — battery and a professional breach.
  • Emergency exception: In a life-threatening emergency where the patient is unconscious and no next of kin is available, the doctor may proceed without consent on the basis of implied consent to save life.
  • Consent for children and persons with mental illness: Consent must be obtained from the parent/guardian for children; for persons with mental illness, from the nominated representative under the Mental Healthcare Act, 2017.

When does it apply?

  • You are about to undergo any surgical procedure or invasive test.
  • A doctor performed a procedure beyond what you consented to.
  • You were not adequately informed of the risks of a treatment before signing a consent form.

What should you do?

  • Before signing any consent form, ask the doctor to explain the procedure, risks, and alternatives in plain language — you have the right to take time to understand before signing.
  • If you do not speak the language of the consent form, request an interpreter or a translated copy — consent in a language you do not understand is not truly informed consent.
  • If a procedure was performed beyond what you consented to, document this and file a complaint with the State Medical Council and/or the Consumer Commission for compensation.

What should you NOT do?

  • Do not sign a blank consent form — always ensure the specific procedure and its risks are written on the form before you sign.
  • Do not mistake a consent form for a waiver of liability for negligence — hospitals cannot use consent forms to shield themselves from negligent care.
  • Do not feel pressured to consent immediately for non-emergency procedures — you have the right to take time to consider and even seek a second opinion.

You came here to know your rights — help someone else know theirs.

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