This article argues that patient reported outcomes, or PROs, still don’t fully reflect what patients actually go through. Most PRO systems rely on fixed surveys that limit how people can describe their symptoms or experiences. The authors point out that health experiences are unpredictable and often change day to day, so forcing them into numbered scales oversimplifies reality. They suggest that generative AI could help by analyzing patient narratives instead of restricting them to multiple choice answers. With AI, patients could describe what they feel in their own words, and the model would extract meaningful patterns and insights. The authors offer two possible approaches, improving existing survey based tools or moving to a system that is completely narrative based. Both approaches are meant to make PROs more accurate and patient centered. However, the authors acknowledge that challenges like validation, ethics, and trust must be addressed before this shift becomes standard clinical practice.