It is not possible, and perhaps not even desirable to construct a code of ethics that covers all eventualities, and yet we are swamped with ethical problems and decisions every day in general practice. In my experience, most doctors are predominantly ethical people, and hold the interests of their patients as the prime reason for their existence. In the final instance, it is our own conscience that will dictate our behaviour, and it is the opinion of our peers that will guide us in difficulty. This poses more questions than it does answers, but we must continue in our tradition of service, practising only to the highest standards of ethical behaviour.