The Internet of Medical Things (IoMT) with fog computing brings a change to healthcare by enhanced patient monitoring, individualized treatment, and real-time data processing. But this paradigm shift has raised some serious ethical and legal questions, especially concerning data privacy and security as well as regulatory compliance. The distributed nature of fog computing challenges compliance with regulations such as the General Data Protection Regulation (GDPR) and the Health Insurance Portability and Accountability Act (HIPAA), thereby necessitating strong data governance measures such as compliance monitoring, encryption, and access control. Some of the other ethical issues that need to be addressed in order to ensure equitable access and transparency include patient autonomy, informed consent, and data ownership. On the other hand, the advent of AI in the IoMT intensifies the challenges of algorithmic bias and accountability. Thus, to facilitate effective deployment, strong legal injunctions, and ethical oversight coupled with multidisciplinary cooperation among technologists, medical doctors, and legislators will be required. Both innovation and compliance will allow IoMT in fog computing to reach its highest potential while being mindful of patient rights, data security, and trust in digital healthcare ecosystems. The foundation for drastically reducing cyber risks lies with frequent legal assessments, risk assessments, and security updates. Clear systems of patient consent, interoperability frameworks, and cross-border data flow rules should be respected. A culture of compliance with the engagement of legal professionals fosters accountability. Ethical issues like data ownership, transparency of artificial intelligence, and equitable access remain paramount. The forward-thinking integration of legal, technical, and ethical safeguards within fog computing ensures compliant, secure, and transparent IoMT deployment.