Although the anti-vaccination movement is based on discredited science and conspiracy theories, it does not deny the validity of my patient's concerns .• Describe at least one mechanism to overcome the obstacle discussed. . In order to overcome the obstacle created by the divergence of beliefs and values ​​regarding vaccination, I would use clear communication as it is one of the key elements of ethical decision-making. According to Hamric et al. (2014), the main source of disagreement “in many ethical dilemmas is the erosion of open and honest communication.” (p. 329). I would try to address their concerns and provide the best possible evidence necessary for my patients to make an informed decision. I would respect and support any decision my patients make to respect their autonomy. • Consider the potential cost and benefits of this decision.