With this patient-centered focus becoming the standard of care, the patient-physician relationship has simultaneously evolved. Many studies have documented a transition that emphasizes relationship-building. Physicians can provide better treatment when an emphasis is placed on communication of patient preferences, visit expectations, and overall goals for both patient and provider. 6 However, more socially taboo topics, such as sexual function, are often ignored. A questionnaire administered to 526 orthopedic surgeons and residents evaluated their ability to discuss sexual function with patients undergoing total hip arthroplasty. 7 This study found that 78% of respondents almost never addressed sexual function, mostly because Related Digital Media are available in the full-text version of the article on www.PRSGlobalOpen.com. Disclosure: Dr. Koehler is a committee member of the American Society for Surgery of the Hand (ASSH), a paid consultant for Integra LifeSciences, Inc, a paid consultant for Tissium, Inc., a stockholder and member of the medical advisory board for Reactiv, Inc., and a consultant for TriMed, Inc. The other authors have no financial interest to declare.