More than 50% out patients in Puskesmas at Surabaya citycame to the dentist for dental permanent extraction. The targetratio between filling and extraction that government statedwere 1:1, but coveraged in Puskesmas at Surabaya City in2003 were 1:5,9. Informed consent was given to patientsbefore the actions, consisted the diagnoses, procedures, themedical purpose, alternative actions, risks, possiblecomplications and prognoses.In Indonesia, there were not the rules yet that regulated theinformed consent before dental extraction. The law ofIndonesian Medical Practices No. 29/2004 has described theresponsibilities to do the informed consent for the actions thatpurposed on preventive, diagnostic, teurapeutic andrehabilitative. So, a dental extraction which is the teurapeuticprosedured needs the informed consent. After all, the informedconsent should be protect both of patient as a subject anddoctor/paramedic from unpredictable conditions.Keywords: informed consent, dental permanent extraction,policy