This study focuses on the social and interactional phenomenon of patients’ self-proposed diagnostic and treatment options, paying attention to its sequence organization and turn design and investigating its interactive value and embodied social norm. Data analyses reveal that a patient might adopt the structure of “V or not V” along with other interactional resources to propose their diagnostic and treatment options, constituting resistance to the doctor’s recommendations. Meanwhile, through this specific turn design, the patient can adjust and manipulate his or her deontic right, display his or her respect for the doctor’s medical authority, and meanwhile bid for opportunities to voice his or her reasons for the clinical visit. Utilizing this grammatical structure of “V or not V”, the patient manages to adjust the trajectory of the current interaction. As a result, it changes the interaction, leads the sequential development, and constructs the patient’s agency in the doctor patient interaction.