Patient bloggers and online advocates are finding new ways to connect, launch advocacy and disease awareness campaigns, and use web-based tools to manage chronic conditions. Their influence has grown to the point where they are even being approached by the pharmaceutical industry to become involved in sponsored initiatives. Does this mean a larger voice for patient experiences and viewpoints or does it hinder trust in the patient community? This panel looks at issues involved in working on both independent and sponsored advocacy projects, and explores the issue of transparency in patient blogging