Journal of Surgery and Surgical Care

Abstract

The Surgeon: Between God-like Perception and Human Reality
Miguel Vassallo Palermo, Angel Franco and José Leonardo Morao Pompili

Introduction: The final year of surgical residency represents a critical transition where individual responsibility shifts from supervised practice toward professional autonomy. Historically, the surgeon has been perceived as a “god-like” figure—a psychological defense mechanism for both the patient and the physician. However, this “God Complex” has evolved into a double-edged sword, closely linked to professional burnout and medical error.  

Methods: A critical narrative review was conducted using a systematic approach across PubMed, Google Scholar, and medical humanities databases, analyzing the surgical personality and the history of surgery. 

Discussion: From the myth of Asclepius to the pioneers of the 20th century, surgical identity has fluctuated between technical divinity and human fallibility. While self-confidence serves as a necessary “armor” during intraoperative crises, its excess leads to isolation and error. The emergence of the “Second Victim” syndrome following a complication stands as the definitive proof of the surgeon’s humanity. 

Conclusion: Excellence does not require a choice between divinity and humanity, but rather their integration. Fusing technical precision with Laín Entralgo’s “loving objectification” allows the surgeon to transcend mechanical repair toward compassionate healing, finding greatness in the recognition of shared biological vulnerability.

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