The article discusses the importance of shared decision-making in healthcare, emphasizing that it should be the norm in most medical practices. It highlights the ethical imperative of respecting patient autonomy, balancing benefits and risks, and ensuring fair distribution of benefits, risks, and costs. Despite its benefits, shared decision-making is not widely implemented. The authors provide best practices for implementation, including the use of patient decision aids, structured graphical displays of risks, and simple strategies for individual clinicians. They also address challenges such as the need for more time, the potential conflict between patient preferences and guidelines, and the relevance of shared decision-making in low-income settings. The ultimate goal is to integrate shared decision-making into routine clinical practice, placing patients at the center of all decisions.The article discusses the importance of shared decision-making in healthcare, emphasizing that it should be the norm in most medical practices. It highlights the ethical imperative of respecting patient autonomy, balancing benefits and risks, and ensuring fair distribution of benefits, risks, and costs. Despite its benefits, shared decision-making is not widely implemented. The authors provide best practices for implementation, including the use of patient decision aids, structured graphical displays of risks, and simple strategies for individual clinicians. They also address challenges such as the need for more time, the potential conflict between patient preferences and guidelines, and the relevance of shared decision-making in low-income settings. The ultimate goal is to integrate shared decision-making into routine clinical practice, placing patients at the center of all decisions.