Exhibit 5.1

                                                              September 8, 2003

MedQuist Inc.
Five Greentree Centre
Suite 311
Marlton, NJ  08053

Ladies and Gentlemen:

                  I am counsel to MedQuist Inc. (the "Corporation") in
connection with the preparation of the Registration Statement on Form S-8 (the
"Registration Statement") to be filed by the Corporation with the Securities and
Exchange Commission under the Securities Act of 1933, as amended, relating to
the 1,500,000 shares of common stock, no par value per share (the "Common
Stock"), by the Corporation pursuant to the Corporation's MedQuist Inc. 2002
Stock Option Plan (the "Plan"). This opinion is furnished pursuant to the
requirement of Item 601(b)(5) of Regulation S-K.

                  In rendering this opinion, I have examined the following
documents: (i) the Corporation's Amended and Restated Certificate of
Incorporation and Bylaws, (ii) the Corporation's minute books and certain
resolutions adopted by the Board of Directors relating to the approval of the
Plan, (iii) resolutions by the shareholders approving the Plan, (iv) the Plan,
and (v) the Registration Statement and the Prospectus relating to the Plan. I
have assumed and relied, as to the questions of fact and mixed questions of law
and fact, on the truth, completeness, authenticity and due authorization of all
documents and records examined and the genuineness of all signatures.

                  I have not made any independent investigation in rendering
this opinion other than the document examination described. My opinion is,
therefore, qualified in all respects by the scope of that document examination.
I make no representation as to the sufficiency of my investigation for your
purposes. This opinion is limited to the laws of the State of New Jersey. In
rendering this opinion I have assumed (i) compliance with all other laws,
including federal laws and (ii) compliance with all New Jersey securities and
antitrust laws.

                  Based upon and subject to the foregoing, I am of the opinion
that:

                  The 1,500,000 shares of Common Stock of the Corporation which
are being offered by the Corporation pursuant to the Registration Statement,
when sold in the manner and for the consideration contemplated by the
Registration Statement, will be legally issued, fully paid an non-assessable.





                  The opinion expressed in this letter is subject in all
respects to the following qualifications: (i) no opinion is rendered as to the
availability of equitable remedies including, but not limited to, specific
performance and injunctive relief, (ii) the effect of bankruptcy,
reorganization, insolvency, fraudulent conveyance, moratorium and other similar
laws or equitable principles affecting creditors' rights or remedies, and (iii)
the effect of applicable law and court decisions which may now or hereafter
limit render unenforceable certain of your rights and remedies.

                  This opinion is governed by, and shall be interpreted in
accordance with the Legal Opinion Accord (the "Accord") of the American Bar
Association Section of Business Law (1991). As a consequence, it is subject to a
number of qualifications, exceptions, definitions, limitations on coverage and
other limitations, all as more particularly described in the Accord, in addition
to the qualifications, exceptions and limitations specifically set forth herein
and this opinion should be read in conjunction therewith. In the event of any
inconsistency between the qualification, exception and limitations of the Accord
and those specifically set forth herein, the more restrictive qualifications,
exceptions and limitations shall control.

                  This opinion is given as of the date hereof. I assume no
obligation to update or supplement this opinion to reflect any facts or
circumstances which may hereafter come to my attention or any changes in laws
which may hereafter occur.

                  This opinion is not intended to be relied upon by any
individual or entity other than you, or to be distributed without my prior
written consent. I consent to the filing of this opinion as an exhibit to the
Registration Statement and to the reference to me under the caption "Legal
Opinion" in the Prospectus, as amended.

                                       Sincerely,

                                       /s/ John M. Suender
                                       -----------------------------------
                                       John M. Suender
                                       Chief Legal Officer