C11.2.4 A qualified and unbiased recommendation of refractive surgery is appropriate where, with the information available, the patient fits the general suitability criteria for surgery. It MUST be made clear that you are giving general advice and that ultimately only an ophthalmologist specialising in refractive surgery can determine individual patient suitability. The final decision will be made jointly between the surgeon and the patient and will be accompanied by the signing of an informed consent form.