Medical Malpractice Center · Case Type

Surgery Without a Proper Explanation:
Inadequate Explanation Alone Can Create Liability

Even if the surgery itself went well medically, a patient who was not properly told of the risks lost the chance to decide for themselves whether to accept or refuse it. On this basis, you can hold the hospital liable separately from any negligence in treatment.

Key Points

  • Before surgery, blood transfusion, or general anesthesia that may pose serious risk to life or body, doctors must give an explanation and obtain written consent (Article 24-2(1) of the Medical Service Act).
  • The explanation must cover the diagnosis, the necessity, method and content of the procedure, the explaining doctor and the principal surgeon, expected after-effects and side effects, and what the patient must observe (Article 24-2(2)).
  • A violation carries an administrative fine of up to KRW 3 million (Article 92), and in a civil case you can claim compensation for non-economic damages for infringement of your right to choose.
  • To recover damages for the entire outcome, a substantial causal link between the failure to explain and the outcome must be recognized (Supreme Court Decision 93Da52402, decided February 10, 1995).

Five things the doctor must tell you

  1. The diagnosis of the symptoms that the patient has or may develop
  2. Why the surgery or procedure is necessary, and its method and content
  3. The names of the explaining doctor and the principal doctor taking part in the surgery
  4. The after-effects and side effects typically expected from the surgery
  5. What the patient must follow before and after the surgery

If the surgical method or the principal surgeon changes after consent is obtained, the reason for and content of the change must also be given in writing (Article 24-2(4)). If the patient asks for a copy of the consent form, the hospital cannot refuse without justifiable reason (Article 24-2(3)), and an exception applies in emergencies where the delay caused by explaining would endanger the patient's life (proviso to Article 24-2(1)).

What you can claim

When surgery is performed without an explanation and a serious outcome results, the Supreme Court divides the claim in two. First, if you seek only compensation for non-economic damages for being deprived of the opportunity to choose and of your right to self-determination, you need only prove that there was no explanation or that it was inadequate. You do not have to prove that you would have avoided the outcome if you had been told. Second, if you seek all damages arising from the outcome, there must be a substantial causal link between the failure to explain and the serious outcome, and the failure to explain must be comparable to a breach of the duty of care in treatment (Supreme Court Decision 93Da52402, decided February 10, 1995).

Frequently Asked Questions

I already signed the consent form. Can I still argue that the explanation was inadequate?
The fact that you signed and whether the explanation was actually sufficient are judged separately. If the consent form contained only general preprinted wording and there was no explanation of the specific risks and alternatives, you may be able to challenge it.
The doctor I consulted and the doctor who actually operated were different.
The principal surgeon must be included in the explanation, and if the surgeon changed partway, you must be notified in writing. If not, this may be a breach of the duty to explain, and you should also check whether someone else performed the surgery in place of the doctor you were told about.

Related Guides

Written on the basis of Korean statutes in force (National Law Information Center, Ministry of Government Legislation) and court precedents as of October 20, 2026. Results may differ with amendments to the law or the facts of each case. This page is general information, not legal advice.

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