It is a challenge managing complex patients in primary care. Complexity goes beyond the concept of multiple medical co-morbidities to include multi-dimensional mental, social, and behavioral person-centric factors that interfere with routine care delivery. It is important for primary care to identify these patients and adopt a problem based, goal orientated, person-centric approach to improve the overall outcome and care experience for these patients. This unit illustrates the use of the SBAR4 framework to approach a complex case.