There is a well-known saying: “The only surgeon without complications is the surgeon who does not operate.” Regardless of expertise or technical skill, surgical complications remain an inevitable part of practice. Beyond the technical aspects, the ethical dimensions of surgery are equally vital to patient care and professional integrity. What is a surgical complication?

A surgical complication is any undesirable, unintended, direct consequence of surgery affecting the patient that would not have occurred had the surgery proceeded as could reasonably have been expected. Modern literature often defines it as “any deviation from the normal postoperative course.” Distinguishing complication from error A key ethical distinction lies between a “complication” and a “surgical error.” A complication may be an unfortunate but non-fault outcome, while an error implies deviation from accepted…