Informed consent prior to any surgical procedure is a mandatory step in medical practice. According to the Canadian Medical Protective Association, the consent must be voluntary, and the patient or guardian must have capacity to consent and be properly informed prior to consenting (1,2). The literature shows that the traditional method (verbal) of informing patients and guardians may not provide enough understanding of all risk, benefits and expectations associated with the surgical procedure for treating scoliosis in pediatric patients. Health centers and research institutes are exploring innovative approaches to improve the comprehensibility of the informed consent process, including the use of multimedia sources (such as video tools) (3,4). In this study, we collaborated with six patient partners to co-develop a video tool aiming to improve guardians’ comprehension and understanding of the pre-operative surgical discussion preceding spinal surgery for pediatric scoliosis patients. This paper outlines the patient engagement strategy employed during the development of the educational video tool, providing a comprehensive description of this process.  Both quantitative and qualitative data was collected from the public and patient engagement evaluation tool (PPEET) (5,6) to look into the effectiveness of the patient engagement strategy implemented in the co-creation of the educational video. Findings from the PPEET display positive results reinforcing the study’s efforts to ensure inclusiveness, support, mutual respect, and co-building during the co-creation of the educational video.