The survey results reported by Thomas et al help to identify a practice gap of not knowing the true impact of physician attire in maximizing patient satisfaction. Physicians and patients have biases about appropriate physician attire, and the white coat has a long and storied connection with medical practitioners. (It also, fortunately, covers many sartorial blunders.) For patients, the white coat exerts a positive placebo effect in some cases and an anxiety-provoking effect in others. The white coat still says “physician.” Many medical schools have a ceremony during which the dean helps students put on their first white coat. We are affected by training, tradition, institutional expectations, and by media portrayals of physicians. It is my impression that physicians portrayed in commercials are more likely to wear white coats and ties (for men) than physicians in television shows. Is there a message here?