The patient-doctor relationship is an integral part to the success of an infertility treatment cycle. Trust in what the doctor is going to do and trust in his ability to treat the disease is paramount. If the patient does not trust, then more than likely they will not be compliant and not follow the correct treatment path. All infertility doctors differ in their approach to treatment. When a patient seeks a second opinion, for instance, she may be coming from a center that has a totally different kind of protocol. If my protocol is different from the one she has had before, then it stands to reason that the patient may need to readjust their thinking in order to accept a different approach to their problem. Sometimes it is the different approach that works, sometimes it has to do with the expertise of the physician and sometimes it is simply up to nature as to why a treatment works or does not work.