The gift restrictions are established by the Sunshine Act that came into effect in 2010 and it required companies such as pharmaceutical and medical device, including durable medical equipment suppliers, to report gifts above $25. While I understand the perspective of the post initiator, I believe that the restrictions are crucial to create a fair market and protect customers. Without these restrictions the relationships between physicians and medical product manufacturers can create conflicts of interest and blur line between promotional activities and the conduct of medical research, training, and practice.