What is the role of interpreters in consent conversations?

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In consent conversations, interpreters act as neutral conduits who translate everything the clinician says into the patient’s language and the patient’s responses back into the clinician’s language. The aim is to ensure accurate communication and true patient understanding, including discussion of risks, benefits, alternatives, and what happens if treatment is declined. They must protect confidentiality and maintain professional boundaries, refraining from adding, omitting, or inferring information. They should not influence the patient’s decision or provide medical recommendations; making the decision lies with the patient and the clinician, not the interpreter. They may ask clarifying questions to ensure understanding, but they do not decide the outcome. Proper interpretation supports the integrity and legality of informed consent by preventing miscommunication that could mislead the patient.