Purposes: Physicians in Taiwan have increasingly faced malpractice lawsuits. The purpose of this study was to examine if physicians’ apologies to patients were an effective way to reduce medical lawsuits when unanticipated outcomes occurred due to malpractice. Methods: A physician was interviewed to determine his experiences with apologies to patients and his views on those apologies. Based on four cases provided by the interviewee, the results were analyzed in terms of apology vs non-apology. Results: There were two factors associated with apology: personal, and departmental and three with non-apology: incidental, personal, and departmental. Conclusions: It was concluded that physicians’ apologies may be an effective way to smooth tensions between physicians and patients. In addition, physicians’ apologies and explanations of patients’ medical conditions could ease patients’ emotional responses and further help resolve tensions. The study also recommended that medical malpractice be addressed in physicians’ professional training and continuing education.