UMEM Educational Pearls

Title: Patient Complaint? Listen - Apologize - Solve - Thank

Category: Administration

Keywords: complaint, service recovery, administration (PubMed Search)

Posted: 10/20/2025 by Steve Schenkel, MPP, MD (Updated: 10/22/2025)
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Do you ever have to manage a complaint? Perhaps a patient complaint?

It can be tough to hear a complaint. Emotions can run high. And then the ability to listen and respond can fade.

It helps to have a shorthand to guide the response.

Customer service literature provides one that often works well: LAST, for Listen, Apologize, Solve, and Thank.

  • Listen first, not interrupting; this takes time.
  • Apologize for unmet expectations.
  • Solve the problem or situation as best possible.
  • Thank the patient for expressing concerns and providing a chance to improve.

This article gets at the basic idea (while adding one or two additional items): Steinman, HK. A Method for Working with Displeased Patients—Blast. J Clin Aesthet Dermatol. 2013 Mar;6(3):25–28. https://pmc.ncbi.nlm.nih.gov/articles/PMC3613270/.