Given the overall benefits of PE, and patient reports of little or no PE for decision-making about higher risk medical devices, further research is needed to explore PE for medical device decision-making. The feasibility of PE is thought to hinge on the effort or resources required from patients, physicians or the health care system . There is a paucity of research from the perspective of physicians on the effort or resources required to engage patients in decisions about medical devices. Such knowledge would provide useful insight on how to better implement PE in this unique context. The purpose of this study was to explore physicians’ views about the feasibility of PE in decisions about higher risk implantable medical devices.