The pediatric surgeon–patient relationship

Though technical aspects of surgical practice are commonly emphasized, communication is the most frequent “procedure” employed by surgeons. A good patient–physician relationship enhances the quality of surgical care by improving outcomes and patient and family satisfaction. There are general principles that can enhance communication with all children and families. Employing a developmentally sensitive approach that adjusts communication style based on a child's cognitive abilities and emotional concerns can further enhance the relationship with children of different ages. These communication skills can be learned and are improved by practice and self-reflection.