Undertaking skin cancer surgery in patients lacking capacity: a growing challenge

We highlight the growing challenge of undertaking skin cancer surgery in adult patients lacking capacity, given the nature of the ageing population, increasing prevalence of dementia and rise in skin cancer diagnoses. In such cases a decision must be made in the patient’s best interests, taking into account the patient’s own views, the existence of a lasting power of attorney, and the views of close family and friends. On occasion it may be reasonable not to aim to cure a skin cancer in a patient approaching the end of life.