Active voluntary euthanasia requires:

Active voluntary euthanasia fundamentally hinges upon the principle of informed consent from the patient. This means that for euthanasia to be considered ethically acceptable and legitimately practiced, the individual must provide clear, voluntary, and informed consent to the procedure. It is imperative that the patient understands the nature of their condition, the alternatives available, and the implications of choosing euthanasia as an option for ending their life. This respect for autonomy acknowledges the individual's rights to make significant health care decisions regarding their own body and life.

While practices like involvement of physicians, legal documentation, and consistency with medical standards may play roles in the broader context of euthanasia laws and procedures, the core requirement is the explicit consent of the patient, underlining the importance of respecting their wishes and rights.