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FLorida Estate and Trust Blog

Living Will vs. Health Care Surrogate: Why You Need Both in Florida

Posted by Sean Gold | Aug 22, 2025

When it comes to estate planning, most people focus on wills, trusts, and who gets what. But what happens if you're still alive but unable to make your own medical decisions?

That's where advance directives come into play—specifically, a Living Will and a Health Care Surrogate Designation. In Florida, these two legal documents work hand in hand to make sure your health care wishes are respected, even if you can't speak for yourself.

Let's break down the difference—and why you need both.


What Is a Living Will?

A Living Will is a written statement that outlines what life-sustaining treatments you do or do not want if you are diagnosed with a terminal condition, are in a persistent vegetative state, or are otherwise unable to communicate and unlikely to recover.

Common directives include your preferences on:

  • Artificial nutrition and hydration

  • Ventilators or breathing machines

  • CPR or defibrillation

  • Dialysis

  • Do-not-resuscitate (DNR) preferences

Important: A living will does not appoint someone to make decisions for you—it's a document that speaks for itself under very limited conditions.


What Is a Health Care Surrogate?

A Health Care Surrogate is a person you legally authorize to make medical decisions on your behalf when you are unable to do so due to injury, illness, or incapacity. Unlike a living will, this designation applies in any situation where you're temporarily or permanently incapacitated, not just end-of-life care.

Your surrogate can:

  • Speak with your doctors

  • Access your medical records

  • Make decisions about surgery, medication, or procedures

  • Carry out your wishes—or make decisions when no instructions are given

Florida law also allows you to name alternates in case your primary surrogate is unavailable.


Living Will vs. Health Care Surrogate: Key Differences

Feature Living Will Health Care Surrogate

What is it?

Written instructions

Person you appoint

Applies when?

Terminal condition, irreversible condition, or vegetative state

Any time you can't decide

Flexibility

Fixed and specific

Broad and adaptable

Decision-making

No person named

Decision-maker named

Recommended?

Yes

Yes

While the living will tells doctors what you want, the health care surrogate appoints someone you trust to decide for you when the situation is less clear.

Elderly woman resting peacefully in a hospital bed with oxygen support, surrounded by soft lighting in a calm medical setting.
Women in hospital setting unable to make her own medical decisions

Why You Need Both Documents

Many people mistakenly think they only need one or the other—but in truth, each serves a different purpose:

  • A living will is only triggered in very specific end-of-life scenarios.

  • A health care surrogate can step in during any time you're incapacitated—even temporarily.

  • If your living will doesn't cover a medical situation, your surrogate can still make informed decisions for you.

Having both ensures there are no gaps in your medical planning.


Real-Life Example

A 68-year-old client of ours had a stroke and could not communicate. She had a living will—but no health care surrogate. Her family struggled to get access to her records, and ultimately had to petition the court for guardianship to make medical decisions.

If she had appointed a health care surrogate in advance, it would've saved her family time, money, and stress during an already difficult time.


Final Thoughts: Protect Your Voice

Your health is personal. Don't leave decisions in the hands of the court—or worse, in the middle of a family dispute.

At Gold Legacy Law, we help Florida residents prepare complete, state-compliant advance directives that include both a Living Will and a Health Care Surrogate Designation. Whether you're planning for retirement or just starting your estate plan, it's never too early to protect your medical future.

Ready to prepare your documents?
Schedule your consultation today and take the first step toward peace of mind.

Disclaimer: This article is provided for informational purposes only and does not constitute legal advice. Reading this content does not create an attorney-client relationship between you and Gold Legacy Law. For legal advice regarding your personal situation, please contact our office to schedule a consultation.

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