As the Canadian healthcare system continues to evolve, patient expectations soar and the patient voice becomes louder. Patients are no longer content to be passive consumers of healthcare, but demand partnership with their healthcare providers, input to the drug evaluation process, and improved navigation of the system. Participatory medicine is the name for the model of healthcare that encourages active participation from all involved parties. How do we effectively engage patients to drive participatory medicine in Canada in a meaningful and productive manner?