It is simple to proclaim the human and individual right of a person with dementia to engage in consensual physical intimacy, to the extent consent can truly be ascertained. But these scenarios raise difficult issues. To make those rights realizable will require no small amount of issues. Often, cognitive incapacity results in the transfer of legal decision-making authority to legal decision-making authority to an adult child or other family member who may have strong views about what is and is not appropriate.