Patient complaints often arise not from clinical outcomes, but from unmet expectations or poor communication. Building strong patient relationships through empathy, clear boundaries, and proactive engagement can significantly reduce complaints. In high-risk fields like cosmetic procedures, managing expectations and screening patients carefully is crucial. This article outlines practical strategies, from showcasing credibility to addressing problematic behaviour that help healthcare providers foster trust, reinforce professionalism, and protect their practice from reputational and regulatory risk.