This essay will discuss the ethics of medical fees charged by doctors in their individual capacities, for services rendered to patients. There is no rational basis for current practices in fee charging. There are no laws or norms in this regard. Also, what is and is not ethical varies with circumstances, from person to person and place to place. Still, we will attempt to identify and elaborate the areas which can be definitely called unethical – the avoidance of which is the first step towards ethicality – and evolve basic principles to guide fee structuring.