Britney Spears's 2020 testimony about her 13-year conservatorship highlighted ethical concerns surrounding surrogate decision making. Social workers engage with families and clients in conservatorship/guardianship arrangements. However, social work educational programs spend little time preparing students for surrogate decision making and advocacy. Guided by the pedagogical technique of scaffolding and the Spears family case, this teaching note presents a foundational understanding of surrogate decision-making arrangements: conservatorship of the estate, conservatorship of a person, temporary conservatorship, permanent conservatorship, medical justification for conservatorship, controlling fertility, legal counsel, labor in conservatorship cases, and alternatives for guardianship. Content in this area will benefit social work students who intend to work with older adults, adults with mental health conditions, and adults with disabilities.