This symposium includes 12 personal narratives from physicians who have been encouraged by their institutions to solicit donations from patients. This issue also includes three commentaries on these narratives by Stacey A. Tovino, Ceciel Rooker & Alyssa Sutton, and Richard Culbertson. This symposium presents a range of real life examples of how physicians and institutions navigate the ethical issues around fundraising from grateful patients paying particular attention to attempting to establish best practices to minimize any ethical conflicts. Some potential problem areas are also explored around transparency, real or perceived coercion and respect for boundaries.