Starting with the phrase so often heard in the clinic— “I don’t want to wear glasses” —this episode covers the key stages of the patient’s evaluation, from the medical history and targeted anamnesis to the examination findings that can completely change the surgical plan. Warning signs, safety limits, and the balance between the patient’s enthusiasm and the surgeon’s caution are discussed, with particular attention to managing expectations.

Aimed at ophthalmologists in all specialties, this episode offers a practical and structured discussion on the decision to operate (or not) on patients who are eager to “get rid of their glasses,” providing concrete tips for structuring the consultation and communicating clearly and responsibly.