In real-world, high-stakes encounters, interpreters quickly learn that word-perfect interpretation alone is not enough. Medical and legal interpreters routinely face ethical decisions that carry real consequences for patients, defendants, and professional alike. In these ethically complex settings, they must make rapid decisions while balancing linguistic accuracy, professional obligations, institutional constraints, and the needs of all parties involved. This interactive workshop examines ethical decision-making as a dynamic process grounded in critical thinking rather than the automatic application of a fixed set of rules.