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Trust is one of the most important components of an intact care provider-patient rela -tionship. Of the many issues brought to the forefront by global changes affecting health care delivery, the erosion of trust between patient and physician has been identified as one of the most serious developments as it affects the core of care delivery. In his book, “On the Take” written in 2005, Dr Jerome Kassirer identified several pos -sible causes for this loss of trust between patients and physicians, such as commercial -ization of medicine, increased reliance on technology and excessive sub-specialization, while absconding general responsibility for the patient as a whole [1].In the lead article of a recent Focus Issue in Spine

„Building a foundation of trust”