Abstract
Definition of the problem: Compromise is an ethical category. During the last 20 years it has rarely been considered, although there are many controversial ethical issues in medicine with no willingness for consensus. In the process of ethics consultation, dissatisfaction with the consultation or afterwards with the decision to act was also noticed.Arguments: Ethics consultation must take into account the anti-ethical implications. Therefore, it must consider the meaning of ethical compromise (1) as an existential option, (2) as a moment in moral development, and (3) as a presupposition for medical interactions.Conclusion: Compromise means to act competently to mediate between morals and situational challenges. Thus, moral optimalism could easily become fundamentalism, which is the horizon of ethics consultation