 Patients should be included in decision-making processes in order to ensure their needs and perspectives are taken into account. However, there are instances where patients are excluded from the process due to unconscious biases, lack of support, and vulnerabilities. To address this issue, we must recognize when patient engagement has gone wrong and take steps to prevent it from happening again. This article was authored by Dawn P. Richards, Sabrina Poirier, Veena Mohabe, and others.