Many voices are calling for open and full disclosure of medical errors to patients. First and foremost, patients want to know when medical care goes wrong and causes them harm.1 Medical ethicists, medical professional organizations, health care accreditation organizations, and hospitals are all developing policies and plans to support transparent disclosure. However, physicians are still not certain about this new world in which they are expected to tell patients the details of errors. The article by Loren and colleagues2 provides a glimpse into what pediatricians think of telling parents about things that have gone awry in the care of their children.