BJ Edwards shares his experience of accessing eye care in the 21st century. I have always received excellent medical care. As a patient who has endured a number of operations, prolonged stays at the hospital and numerous outpatient appointments, I have observed some excellent practise. Sadly, I have also observed some less than excellent practise during my decades of experience. As a patient, one often suffers stress or anxiety, so it is difficult to remain objective and cogent when considering one’s own care. I accompanied my partner as she underwent surgery. As a bystander, I had the opportunity to objectively and dispassionately observe my partner’s treatment. I am disappointed and saddened to report that there are glaring issues that need addressing.