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It's but a Flesh Wound

In the 1700s, it was reported that a patient approached a surgeon to request that he amputate the patient's leg. Although physically healthy, the patient considered this limb to be an 'invincible obstacle to [his] happiness'. The surgeon refused to operate. Although the intervening years have seen the Industrial Revolution, the rise of democracy in the west, multiple world wars and nothing short of the whole-scale radical redevelopment of medical practice, this report might well have been about a consultation that occurred yesterday. Under current medical practice, most '[s]urgeons are unwilling to accede to [such] requests for amputation' (though apparently they may be being carried out in some 'third world clinics'). Indeed, Robert Smith is the only Western surgeon reported to have carried out healthy limb amputations, performing two such procedures at a Scottish hospital before being shut down by the hospital's trustees in 2000 amid widespread press furore.