This is a reflective essay based on my experiences whilst on my five week surgical placement on a urological ward in a local hospital. The aim of this essay is to explore the use of communication and interpersonal skills in clinical practice. I have chosen this particular incident as I spent a considerable amount of time communicating verbally and non verbally with this particular patient. To protect the identity and maintain confidentiality of the patient I have chosen to discuss they shall be known as 'John', this is accordance with the NMC code of professional conduct (NMC 2008). To assist me in the process of reflection I am using Gibbs (1988) reflective model. This cycle consists of a description of the event, feelings towards what happened, an evaluation, an analysis, a conclusion, and an action plan.