Sir,The Saudi Journal of Anaesthesia have introduced ladder and checklist for researchers by conducting workshop on how to write a paper and published special supplement to enhance writing skills to make a complete manuscript suitable for publication.[12] The academicians in anesthetic practice may face ethical challenges and may be familiar with the presentation of a write-up as a case summary in a bioethics journal. This letter address the simplified lessons I learned after attending a workshop on writing case reports in Asian Bioethics Review in connection with 14th World Congress of Bioethics of the International Association of Bioethics and 7th National Bioethics Conference of the Indian Journal of Medical Ethics at Bengaluru.[3] Tool A (analyzing facts and values), Tool B (balancing intuitions and principles), and Tool C (comparing cases) constitute ABC tool box where difficult ethical decisions in clinical practice is solved through systematic approach.[4] Another approach for writing up case is the difficult case approach by identifying the specific ethical question to address, develop arguments regarding a particular case, comparing and contrasting arguments, and discuss the relevant contextual factors that are associated with the case.[4] Another approach for writing up a case in a bioethical journal is through the four topics approach which include medical indications, patient preferences, quality of life, and contextual features.[5] Research scholar in anesthetic practice may use above methods in writing a case summary and he should be well versed with the textual practices suitable for a bioethics journal.[6]