Since there are many conflictions existing in mutual exchanges in social life, the conflictions arising between people are relatively increasing, especially in doctors and patients advocating to selfdetermination rights, and cause tensions between them. Physicians are always confused in whether patients should or should not under the socalled on the best or suitable medical treatment for the patients by law, especially in the issues of life emergency. The purpose of this article is to discuss the constitutional issues on the patients' self-determination rights in medical issues and evaluates the balance between patients' self-determination rights and the national protective obligation of medical professionalism by exampling Japanese judicial cases of "Jehovah's Witnesses Refuse blood transfusions," since Jehovah's Witnesses believe that the Bible prohibits ingesting blood and that Christians should therefore not accept blood transfusions or donate or store their own blood for transfusion. Based on re-setting up to assess and review Fundamental Rights Confliction to doctors and patients ideal legal operation involving human right of freedom by continual physical limitations, this article confer the resolutional routes in constitutional issues related in the patients' self-determination rights of medical issues. In summary, this article tries to deal with the cases by patients' "pious religious beliefs" as a solution and recommends the lawmakers to enact the aforementioned relevant elements in laws to leave doctors and patients to pursuant and appropriate situatuion in complex of these medical events, and meet their expectations.