Shared decision-making (SDM) is a collaborative process in which patients, families and clinicians jointly establish a treatment plan. It is considered the intersection of evidence-based medicine and patient-centered care, as constructive decision-making is reliant on sound, evidence-based options. The aim of this approach is to empower patients and families to express their values and preferences, to pose questions, and to be active participants in making decisions regarding their healthcare. Although this collaborative process has been widely discussed and documented in a broad spectrum of medical and surgical specialties, research assessing its use in otolaryngology is limited. Specifically, in pediatric otolaryngology, studies have evaluated either the impact or the perception of SDM for common ENT problems, such as children with persistent sleep apnea (Bergeron, 2017, 2018), the decision for tympanostomy or adenotonsillectomy (Hong, 2017) and for pediatric otolaryngologic consultations (Hong, 2016, 2018). Recently, the Academy of Otolaryngology also covered this topic with an article about evidence-based medicine in otolaryngology and SDM (Ikeda, 2018), stating that SDM can potentially “decrease decisional conflict and regret, as well as to increase adherence to treatment plans and health care savings. Barriers to SDM exist, although initial reports suggest that the practicalities of implementation are feasible in our field.” During this session, attendees will be able to identify the pros and cons of shared decision-making and will be introduced to several tools available to incorporate SDM into one’s busy clinical practice.