What led physicians to make such monumental decisions, often without consulting parents?

It was a monumental decision that Turkish leaders came to rue.

Riker understood that yet another fairly monumental decision was now expected of him.

These thoughts of the past helped me come to a monumental decision.

God had trusted him with a monumental decision.

"You've come to some monumental decision about us."

You go around making these monumental decisions about what other people should know or not know about their own lives.

To anyone else this wouldn't have been a monumental decision.

Then he nodded as though he'd just come to a monumental decision.

The high court's ruling will be among the most monumental decisions, for American education and society, that it has ever made.