The giving of gifts in medicine has long been an issue of ethical approach, mainly in specialties such as neurosurgery. This practice may cross the limits as it may become influence peddling, which can indirectly intervene in the personal doctor's decision-making. According to Łuków,[1] altruistic donation based on anonymity, in any aspect of medicine, is defective and unproductive and that notion must be changed by human practices of giving and receiving, in a regulated manner and without additional interests. He mentions that this can become something unpayable and that the neurosurgeon is practically forced to have debt burdens with the patient and family due to the gratitude that this entails. However, it is mentioned that the giving of gifts altruistically is not motivated exclusively by the expectation of direct or indirect gain, in which it is not intended to benefit another. However, the aim is almost always to benefit an anonymous person. According to Ferraro,[2] the extent of the feeling of indebtedness makes the person who has accepted it feel inferior and will seek to free themselves from the obligation through reciprocity.