This is a common ethical situation that is frequently encountered in FMProC test and may pose itself as a question where a patient may present you with a gift for example money or a bottle of your favourite drink. The College of Family Physicians of Canada guidance is that you are expected to 'maintain appropriate professional boundaries' in a way that the therapeutic role you are taking, is not influenced by the patient's expectations in a way that would affect your clinical decision-making in the future. However, refusing a gift, especially when gift-giving is part of the patient's culture, may hurt or offend a patient or be viewed as impolite. Thus negatively afftecting 'the therapeutic relationships with patients and their family'. However, the confusing issue is that this does not necesssarily mean you cannot accept gifts. There is no yes-or-no answer to a question surrounding gifts, but a it-depends answer. To orient yourself correctly in such situations, you need to first asks if the clinic or the health setting you are working in has a policy regarding gifts. Some clinics have a policy that their physicians should refuse to accept any gift from patients, thus, you can explain this to the patient without risk negatively affect the working relationship with them. Next, you can try to assess whether the gift is appropriate for the service you have offered e.g. a box of chocolates for providing palliative care to a patient may raise less quesitons than being given a monetary sum. You must also make sure that the patient is aware that there is no need to give you a gift to receive the standard medical care for his/her condition. However, watch out for the possibility of offending the patient when declining a gift. Therefore, when declinig a gift that you feel inappropriate, you must give a reasonable and sensitive explanation to the patient.