The Hong Kong health care system is often held to be excessively fragmented. However, little research has been undertaken to determine the extent of fragmentation. In this article we seek to separate myth from reality by reporting the results of a patient survey undertaken in the early months of 2000. Our analysis of these results enables us to contribute to current debates about fragmentation. Against the proposal of the 1999 Harvard Report for radical structural reform, we endorse the incremental strategy advanced by the Hospital Authority.