BACKGROUND There is a routine practice of getting informed written consent in patients undergoing any medical procedure, especially surgical procedure. In case of high-risk surgery, we routinely get an informed high-risk written consent. We get consent from both the patient and the patient's close and reliable relatives. Patients routinely agree and give consent to all medical procedures, but actually most of the patients are unaware of the condition of patient or the disease severity and its complications from which he or she is suffering from at the time of giving consent. When something grave happens to the patient, the entire blame is on the doctor that the patient's relatives were unaware of the condition of the patient and there is lot of stress to the doctor who is treating a high-risk patient and declaring death. In order to modify this, in this study we took one of the patient's close and reliable attender inside the operating room to visualise the pathology in person and explained them in detail the condition of the patient. We suggest that by this method, the stress to the doctors regarding risks to the patient is reduced and they need not explain each and every one about the condition of the patient. We will continue to take attenders inside operating room and explain the condition in high-risk cases.