The term ‘process of informed consent is not well understood’ meant that it is not a well understood topic among practicing pediatricians.

Informed consent is an extremely huge topic to review. The existing literature is enormous and the review was intended to improve the existing process of informed consent in pediatric practice in India rather than providing a legal viewpoint. We acknowledge the concern of the reader that the rich resource of court cases delivered in Indian courts have been ignored. There are innumerable court cases in India pertaining to failure of obtaining consent. It was not practical to incorporate all legal perspectives in the review owing to word limit of the journal. For the same reason, the review did not cover topics pertaining to pediatric emergency care or confidentiality of information shared with the parents/guardian.

General consent for examination and basic procedure cannot be equated to implied consent, especially in situations where a female child is being examined or when their private parts are being examined or when potentially toxic medication is being prescribed. It is often essential to explain to the parents the nature of procedures being carried out on their children, purpose of doing those investigations, and the common associated hazards with those procedures or medicines.