Hello Christine Deslauries,Including patients in treatment regimes, especially ones with long reaching effects, provides means to ensure patient security as well as improve treatment outcomes (Loh, et al.,2007). In, dealing with ED (Erectile dysfunction), especially in service men whose ego is part of their persona, innovative measures are key to producing acceptable outcomes. Therefore, I concurred with your opinions on the value of shared decision making and the applicability of evidence based practice, but also approved your inclusion of his spouse as a surrogate while the patient was unconscious. However, intimacy revolves around more than sexual activity and while the reconstruction would offer an opportunity for the couple to maintain their sexual relationship, other avenues of their intimacy would suffer significantly. Therefore, while the SM’s self esteem was considered as part of treatment, his wife’s ability to cope with his physical changes should likewise be considered. Regards!ReferencesLoh, A., Simon, D., Wills, C. E., Kriston, L., Niebling, W., & Härter, M. (2007). The effects of a shared decision-making intervention in primary care of depression: a cluster-randomized controlled trial. Patient education and counseling, 67(3), 324-332. Hello Toluwalope Olofi,The combination of evidence and patient preference or value is a means to improving