An article in the October 2025 BMJ discusses the need for reform of medical evidence in criminal cases.[1] Authors Svilena Dimitrova and Phil Hammond point out that medical testimony in criminal proceedings should be scientifically based and provided by unbiased experts.[1] The article was originally published without a full competing interest statement, which was later updated.[1] The February 5, 2026 update clarifies that Svilena Dimitrova is acting as an instructed expert for the defense in the Lucy Letba case at the level of the Criminal Review Commission and has offered free medical expertise.[1] This change in the declaration of competing interest emphasizes the importance of transparency in medical testimony in criminal proceedings and the need for clear disclosure of potential conflicts of interest.[1]