Patients often favor surgical innovations but struggle with understanding the associated risks, impacting consent processes.

• Patients show optimism and trust towards new procedures, yet they demonstrate limited comprehension of risks.
• Multimedia and interactive consent tools enhance patient understanding significantly.

Surgical teams should adopt a structured, dialogue-driven consent framework to bridge knowledge gaps.

• A five-pillar framework for consent emphasizes clarity about novelty, uncertainty, and shared decision-making, with a 10-point checklist to guide discussions.