This document explores clinical decision-making (CDM) in physiotherapy, emphasizing its dynamic nature and its reliance on both evidence-based practices and patient collaboration. CDM is described as a high-level cognitive process involving hypothesis generation, diagnostic reasoning, and ethical considerations. Shared decision-making, a key component, integrates patient preferences and clinical expertise to enhance treatment outcomes. Various CDM models, such as fast and frugal heuristics, information processing, and intuitive-humanist approaches, are examined to highlight their application in diverse scenarios. The integration of ethics in clinical practice is also addressed, focusing on patient autonomy, informed consent, and resource allocation. The document emphasizes the importance of structured frameworks and evidence-based tools, alongside intuition and experience, in optimizing patient care. By blending clinical, ethical, and collaborative reasoning, physiotherapists can achieve improved patient satisfaction, reduced decisional conflicts, and better therapeutic outcomes. The text provides a comprehensive guide for enhancing decision-making skills in physiotherapy practice.