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Ghost surgery is a term in the medical and surgical fields that refers to a controversial practice where a surgeon delegates the actual performance of a surgical procedure to another surgeon without the prior consent of the patient. This practice can raise significant ethical and legal implications, as patients typically choose their surgeons based on trust, reputation, and expertise. When ghost surgery occurs, patients may be unaware that a different, and sometimes less qualified, surgeon is performing the procedure instead of the one they originally consulted. This can lead to a feeling of betrayal and a loss of autonomy over one's own healthcare decisions. The practice often emerges from situations where a primary surgeon is unable to fulfill their commitment due to unexpected circumstances, such as emergency situations, scheduling conflicts, or other obligations. While some may argue that the continuity of care is important and that a qualified substitute surgeon can maintain the quality of care, the lack of transparency can undermine the doctor-patient relationship. Ghost surgery highlights the critical importance of informed consent, a foundational principle in medical ethics, which ensures that patients are fully aware of who will be involved in their medical care. When patients have the right information, they can make informed decisions about their treatment options, including expressing preferences for specific surgeons or being involved in the selection of their care team. This practice has implications beyond individual cases; it raises broader questions about the accountability of medical professionals, institutional policies, and the healthcare system as a whole. Various medical boards and organizations have denounced ghost surgery, asserting that it violates ethical standards and can lead to detrimental outcomes for patients, including increased risks of complications and decreased satisfaction. In the face of ghost surgery, the potential for legal ramifications exists as well, particularly regarding malpractice claims. Patients who discover they underwent ghost surgery may pursue legal action against the original surgeon or the hospital for failing to disclose material information or for breaching the standard of care. Therefore, it is crucial for healthcare institutions to establish clear policies and practices that prioritize transparency and uphold the principles of patient autonomy and informed consent. Medical professionals are encouraged to communicate openly with patients regarding their surgical procedures, including any potential contingencies that may arise. Ultimately, ghost surgery serves as a critical reminder of the importance of trust in the patient-provider relationship and the ethical responsibilities that accompany surgical practice. By fostering a culture of openness and respect for patient choices, healthcare providers can work towards minimizing the occurrence of ghost surgery and ensuring that patients receive the comprehensive, personalized care they deserve.