Surgeons’ Day and the Extraordinary History of Self-Surgery

Every year on 15 June, India observes Surgeons’ Day, an occasion promoted by the Association of Surgeons of India and other medical institutions to recognize the contribution of surgeons to healthcare. The day is marked by professional meetings, public awareness programmes, health camps, and discussions on advances in surgical practice.

In the Indian context, it is also important to remember Sushruta, the author of the Sushruta Samhita, who over two millennia ago, described surgical instruments, operative techniques, wound management, and reconstructive procedures. His work is among the earliest known systematic texts on surgery anywhere in the world.

Self-Surgery

While surgery is usually associated with teams of highly trained professionals working in carefully controlled environments, history records unique cases in which individuals performed surgical procedures on themselves. These episodes occurred under very different circumstances, but each has become part of medical history because of the unusual challenges involved.

Leonid Rogozov: Appendectomy in Antarctica

One of the best-known cases is that of Leonid Rogozov, a Soviet surgeon stationed at the Novolazarevskaya research station in Antarctica in 1961.

Rogozov developed acute appendicitis while serving as the only physician at the base. Weather conditions made evacuation impossible. On 30 April 1961, assisted by colleagues who handed him instruments and held mirrors, he performed an appendectomy on himself using local anaesthesia.

The operation lasted approximately two hours. Rogozov recovered and resumed his duties within weeks. His case is widely cited in medical literature as a unique example of self-performed emergency surgery.

Evan O’Neill Kane and Surgical Experimentation

In 1921, American surgeon Evan O’Neill Kane carried out an appendectomy on himself at a hospital in Pennsylvania.

Kane’s purpose was not emergency treatment but the demonstration of local anaesthesia for abdominal surgery. He believed that local anaesthesia offered advantages over general anaesthesia in selected cases and used his own operation to support that view.

In 1932, he reportedly performed a second self-operation to repair an inguinal hernia. These procedures attracted significant public and professional attention at the time.

Inés Ramírez Pérez and a Self-Performed Caesarean Section

In 2000, Inés Ramírez Pérez, living in a remote rural area of Mexico, carried out a self-performed caesarean section after prolonged labour and the absence of medical assistance.

Following the delivery, she sought help from local residents and was transported to a hospital. Both she and her baby survived. Medical reports published subsequently documented the case, which is considered one of the rare recorded instances of a successful self-performed caesarean section.

Aron Ralston’s Self-Amputation

In April 2003, American mountaineer Aron Ralston became trapped in Utah’s Bluejohn Canyon when a falling boulder pinned his right arm.

After remaining trapped for several days and exhausting his supplies of food and water, Ralston amputated his own arm using a small multi-tool and then climbed out of the canyon to seek assistance.

His experience was later described in his memoir Between a Rock and a Hard Place and dramatized in the film 127 Hours.

Claude Martin’s Procedure in Lucknow

An earlier and less widely known example has a connection to India.

Claude Martin (1735–1800), a French soldier and entrepreneur who spent much of his life in Lucknow under the East India Company, suffered from bladder stones. Around 1782, he devised an instrument that he used on himself over an extended period in an attempt to break down or remove the stone.

Martin later described the procedure in correspondence and records that came to the attention of medical practitioners in Europe. Historians of medicine have noted similarities between his approach and later methods of lithotripsy, the technique used to break up urinary stones without major surgery.

Today, Martin is better known as the founder of the La Martinière schools in Lucknow and Kolkata, but his medical experiment remains a noteworthy episode in the history of self-treatment.

As India marks Surgeons’ Day each year, the occasion serves not only to recognize today’s surgeons but also to remember the long and often remarkable history of surgical practice, innovation, and human resilience.

–Meena

MKG–LLB MD(Hon)

“His vocation to be a medical healer was deeper than his vocation to practice law.  He practiced law for about 20 years and then quit forever (though vigorously engaged in politics); his medical healing of sick individuals continued throughout the rest of his life.”

A recent lecture by Dr Mark Lindley at the Sabarmati Ashram in Ahmedabad explored Gandhi’s persona as a healer, and health advisor as well as practitioner. Lindley himself wears many hats! An internationally renowned musicologist, as well as an ecological economist, he is also a Gandhi scholar with particular interest in Gandhi’s views on health.

While I was aware of Gandhi’s strong and passionate views on health, diet and lifestyle, a lot of which can be found in his seminal work Key to Health, Lindley’s talk revealed several new aspects of Gandhi which I felt would be interesting to share.

We all know that Mohandas Gandhi went to England in 1888 when he was 18 years old to study law, under advice from family elders. What is perhaps not as well known is that Gandhi’s own desire was to study medicine there. At that point however, apparently the popular perception that becoming a barrister would be an ‘economically’ more practical choice prevailed.

The idea resurfaced around 1908 after he had already been practising law in South Africa. Gandhi may have felt that he could serve people better by practicing medicine than by practicing law. This time, it was the fact that studying medicine would involve vivisection that led him to reject the idea. During his visit to London in 1909, he wrote to a friend that a certain doctor there “…tells me that in the course of his studies he must have killed about fifty frogs. An examination in physiology without this, he tells me, is not possible. If this is so, I have absolutely no desire to go in for medical studies. I would neither kill a frog, nor use one for dissecting if it has been specially killed [by someone else] for the purpose of dissection.”

Interestingly Gandhi’s writings soon after that visit reflect a radical change of view. In Hind Swaraj which he wrote on board the ship while returning from England in 1909, Gandhi vociferously avers “I was at one time a great lover of medical profession. It was my intention to become a doctor for the sake of my country. I no longer hold that opinion.”

“It is worth considering why we take up the profession of medicine. It is certainly not taken up for the purpose of serving humanity. We become doctors so that we may obtain honours and riches. I have endeavoured to show that there is no real service of humanity in the profession, and that it is injurious to mankind. Doctors make a show of their knowledge, and charge exorbitant fees. …The populace, in its credulity and in the hope of ridding itself of some disease, allows itself to be cheated.”

Reading these lines, 109 years later, I was struck by how much this sounds like some of the concerns about the medical profession today!

As the famous French epigram goes “plus ça change, plus c’est la même chose”, in other words “the more things change, the more they stay the same.”

–Mamata