The transition from paper-based medical record keeping to electronic health records (EHRs) has revolutionized healthcare delivery, offering streamlined workflows and improved accessibility to patient information. However, this shift brings forth a number of ethical challenges, particularly concerning data privacy and security in surgical practice. The evolution of medical record keeping from paper-based to a digital medium brings to light the balance between technological advancement and ethical responsibility. While most think of data breaches at the local level, events such as the SingHealth cyberattack in 2018, have starkly highlighted the vulnerabilities of digital health systems at a national level. Demonstrating that patient data is not immune to cyber threats. The inconsistency between public and private healthcare systems further complicates matters. While large software providers like Epic or Cerner may offer more robust privacy and security features within public systems, the absence of standardisation of EHR in the private sector exposes patient data to heightened risks. In the evolving digital age in which patients & clinicians have a large presence on social media, whether this is for personal, business, or educational reasons, managing the privacy of patients data is a challenge. Hence, ensuring patient confidentiality and safeguarding sensitive health information are important ethical imperatives for clinicians. As custodians of patient trust, surgeons must navigate the complexities of data privacy regulations, implement stringent security protocols, and advocate for transparent communication regarding data breaches and cyber risks.