As Nurses we understand that Consent and Capacity along with the right to say No can be complex. The enclosed article is from the Medical Journal of Australia and whilst the content has been created for Medical Officers it provides good information.”Competence is a key component in patient consent,whether agreeing to or refusing a treatment. The law surrounding competence can be difficult to understand and interpret. ” The article presents a “complex case involving a woman refusing life-saving surgical treatment. Initially considered competent by doctors, she was then deemed incompetent by a neuropsychologist, resulting in surgery against her instructions.” Questions regarding the notion of competence and the methods by which it is assessed and applied are discussed.