Effective communication between the doctor and the patient is of prime importance for building a therapeutic relationship between doctor and the patient. Communication skills for a doctor are extremely important in clinical practice while interacting with the patients. Though, there may be many stations in the MRCOG examination which would be testing the candidate’s communication skills along with other core skills, some stations may focus exclusively on the candidate’s communication skills. At ST5 level, the candidate would be communicating not only with the patients and their caretakers, but also with the colleagues, both junior and senior. At these stations, the examiner is mainly marking the candidates for the way they interact with the role-player and their counselling skills. Clinical knowledge in such stations is often secondary. The role-player may have been trained to display different kind of emotions. They may act as if they are sad or angry or upset. A competent candidate will be able to bring the situation under control by successfully counselling and reassuring the patient. This chapter discusses 4 objective structured clinical examination (OSCE) stations related to communication with patients with different scenarios.