Informed refusal is as important as informed consent. It is equally important to document the informed refusal process, which should include the following: the need for intervention, and the risks, benefits and alternatives to the intervention, including the likely consequences of refusal and the reason why the patient refused the proposed intervention. [ACOG Committee on Professional Liability. ACOG Committee Opinion No. 306. Informed refusal. Obstet Gynecol. 2004;104(6):1465.]