The 2021 article 'cis-Bis(l-DOPA-2 N,O)copper(II) monohydrate: synthesis, crystal structure, and approaches to the analysis of pseudosymmetry' by O'Brien et al. (2021) is notable for two reasons. First, it reports only the third crystal structure of a metal complex containing the medicinally important ligand l-DOPA (3,4-dihydroxy-lphenylalanine). Second, the article includes a tutorial on finding approximate symmetry relationships between molecules that are chemically equivalent but crystallographically independent. Identification of approximate symmetry in molecular crystals is not yet a solved problem; rather, it is an area of considerable recent activity. Rekis (2020) proposed a method for finding approximate inversion centers; Brock & Taylor (2020) described software for finding approximate translations; Brock (2020) identified layers that have higher approximate symmetry than does the whole crystal; Baggio (2019, 2020) outlined a general method that can be used to find approximate symmetry of all types and applied it to a large number of Z 0 = 4 structures.l-DOPA is a major drug that has been used for more than 50 years to treat the motor symptoms of Parkinson's disease; global sales of its various forms are measured in the billions of USD. It is then very surprising to find that the Cambridge Structural Database (CSD; Groom et al., 2016) contains only two structures (FETTON and FETVEF;Suzuki et al., 1998) in which l-DOPA is coordinated to a metal, and two more (XOYXUH and XOYXUH01; Shemchuk et al., 2019) in which it is part of an ionic cocrystal (with LiCl).There are numerous structures in the CSD of metal complexes containing the naturally occurring amino acids tyrosine (Tyr; 4-hydroxy-l-phenylalanine) and phenylalanine (Phe) that are the biological precursors of l-DOPA. In almost all of those structures the amino acid coordinates through both its amino and carboxylate groups. The CSD version of May 2021 includes 61 different R 0.075 structures of metal complexes of Tyr and 83 of Phe; there are, however, only two structures of any precision of l-DOPA complexes. Given its medical significance and market value it seems certain that many attempts have been made to grow diffraction-quality crystals of metal complexes of l-DOPA, but if so, then most of those attempts failed. It would seem that the addition of the second hydroxy substituent on the phenyl ring must be determining, but why? O'Brien et al. note that they had difficulty finding a crystal that diffracted well. Shemchuk et al. (2019) mention the low quality of the data for XOYXUH; their structure of the polymorph XOYXUH01 was determined from powder data. The R factors for FETTON and FETVEF (0.073 and 0.079, respectively; Suzuki et al., 1998) are surprisingly high. The small number of l-DOPA structures with metals and the problems with data quality suggest that some feature of l-DOPA interferes with crystal packing. Looking at the hydrogen-bonding tendencies of vicinal hydroxy groups located on phenyl rings might be a way to approach the problem.The re...