Many studies have highlighted how patients recall and retention of information post-consultation with physicians can misalign with the providers perceived expectations. This can lead to patients having inaccurate expectations of their outcomes following treatment. These inaccurate assumptions can be especially devastating in high stakes scenarios such as in the surgical management of metastatic epidural spine tumors. This ongoing prospective study aims to explore the quality of communication between clinicians and six patients by using a longitudinal survey methodology where patients are surveyed prior to surgery and then post-operatively and two and six weeks. These surveys are then compared to look for differences between the expected outcome and the actual outcome.