 The need for reform to reduce litigation to rise and for medical negligence in Nigeria has been stressed due to the problematic nature of the existing system. Ratayada Justice Mary Odile made the call at the Nigerian Medical Association annual general meeting and scientific conference in Pothalkat, the river state capital. The exodus of medical personnel to greener pastures outside the shores of this country litigation in medical practice and emerging trend was a theme of the gathering where the stakeholders raised some concerns. Chairman of the occasion retired Justice Mary Odile commanded the enemy for creating awareness on the need for medical doctors to sit up and be vigilant in the discharge of their duty to avoid litigation. Law and practice of Nigeria in relation to medical negligence litigation need urgent reform due to the problematic nature of the existing system. There are considerable shortages in human resources for health across all three levels of healthcare delivery. The incessant brain drain or Japan syndrome of doctors and nurses from Nigeria to welfare countries has frightened the already pre-existing gaps. The cultural and religious attitudes in parts of Nigeria tend to weaken their passion by patience of knowing their rights. On his part, Chairman of the Nigerian Medical Association River State Chapter Dr. Ebi Robinson described the issues of brain drain as a natural disaster and wants the federal government to improve on the welfare and security of medical personnel. The Commissioner of Health, Ada Ezi Ori, said one of the ways to address brain drain was adopting holistic approach from all sectors. What prompted the team is because of the level of brutality and to create awareness for our medical community so that doctors will be aware of the right and know when to ensure that the practice is optimal and to know that there are lots of praise here and there that I will we want to take advantage of the practice especially when their misconception or outcome is not the outcome of medical treatments. If you look at the provisions of the physician's oath it's a guide to how to conduct oneself as a physician but when we talk about litigation there's also the need for physicians to be aware of litigation as something that is coming to stay building capacity and that's why we commend the Nigerian Medical Association for highlighting this by making it the focus of their conference this year so that not just the physicians but also patients and their families are aware of their rights because litigation we know can go both ways. So the issue of medical practice, medical negligence and errors and the like is the center of this discussion and that's at any time in the course of practice they can be called to account for any carelessness and any my practice misdiagnosis as it's not as if the way doctors practice that they have a warranty that it must end up good no. However they should not be seen to be careless that error is over. It's time for you to be sober, vigilant because there's a duty of care and there's a standard of care that is a burden that you must discharge and dishonority yourself. The River State Governor Simin Alaye Fubara however promised to collaborate with the Nigerian Medical Association in the state in seeking sustainable ways to boost the capacity of the state physicians workforce.