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Extended decision-making through the use of proxy decision-makers has been enshrined in a range of International Codes, Professional Guidance and Statute, 1 and is now widely seen as a useful means through which we can exercise control over decisions that affect our lives when we have lost capacity to make these decisions for ourselves. 2 Although there may be an expectation by currently competent individuals wishing to make use of this provision that appointing a proxy will allow control to be retained over important decisions, numerous concerns have been raised as to how we might best establish the way in which a proxy makes their decisions that can shape, curtail or restrict the decisions a proxy can make. These concerns have tended to focus on content, that is, the kind of decision the proxy can make and the way in which a decision is arrived at, such as through substituted judgements or best interest …