Organizing the delivery of health care around the needs of the patient may seem like a simple and obvious approach. In a system, as complex as health care, however, little is simple. In fact, thirty years ago when the idea of ―patient-centred care‖ first emerged as a return to the holistic roots of health care, it was swiftly dismissed by all but the most philosophically progressive providers as trivial, superficial, or unrealistic. However, around the world today the era of the health worker as a “lord” is over. There is increasing evidence that health care providers who put the patient at the centre of the care they provide have a unique comparative advantage. In Nigeria, the last decade has seen economic growth and the emergence of a more discerning middle class, who with access to the internet and global travel are demanding more from their healthcare providers. The future belongs to healthcare providers who recognise and respond to these developments.