 True informed consent depends on effective, bi-directional communication between parents and their childs healthcare providers. Many things affect the quality of the consenting process including the parents level of health literacy, English proficiency and cultural perspectives. Our long-term goal is to develop a standardized consenting process that ultimately addresses the needs of the patient and the patients family so that a truly informed decision can occur. The specific hypothesis is that incorporating the use of a multimedia patient decision aid to assist in the education of patients and their families about an invasive medical procedure i.e. gastro-endoscopy will improve knowledge and positively impact the ability of the parent to act on this knowledge when making decisions regarding their childs health care. 