Why do most malpractice cases in Georgia fail before reaching trial?
The premise needs care, because “most” would need a count of Georgia cases that the Code and decisions don’t provide. What can be shown is that the statutes create several early points where a case can end, and that case outcomes depend on proof a patient may not have at the start.
Points where a claim can end
| Stage | Issue | Source |
|---|---|---|
| Before filing | No expert is willing to sign | O.C.G.A. § 9-11-9.1 |
| Filing | Time limit passed | §§ 9-3-71, 9-3-72, 9-3-73 |
| First responsive pleading | No affidavit, and no renewal available | § 9-11-9.1(f) |
| Through close of discovery | Defective affidavit, if not cured in 30 days | § 9-11-9.1(e) |
| Service | Late, without diligence | § 9-11-4(c) |
| Summary judgment | No expert evidence on causation or breach | § 9-11-56 |
| Pretrial | Expert excluded | § 24-7-702(b), (c), (d) |
| Settlement | Parties resolve the case | Private agreement |
Why causation is the hard part
A patient may have been treated carelessly and still lose if the outcome would have been the same. Experts must connect the breach to the injury in terms of medical probability (see Zwiren v. Thompson, 276 Ga. 498 (2003)). In a delayed diagnosis case, that’s the difficult question: would earlier care have changed the result?
Costs
Expert review, depositions, and trial preparation can cost more than the case is worth if damages are small. That affects the decision to bring or continue a claim, though no statute measures it.
Settlements aren’t failures
A case that ends before trial may have ended in a settlement. So “not reaching trial” can’t be read as “failing.”
What reduces the risk
- Calendaring the deadlines early, using the earliest possible date.
- Having records and an expert review before the last 90 days, to avoid relying on § 9-11-9.1(b).
- Identifying every potential defendant by legal name.
- Prompt and documented service.
General information about Georgia law as of November 2026. It is not legal advice and does not create an attorney-client relationship.