Cutting to the Core: Exploring the Ethics of Contested Surgeries

by David Benatar (Editor)

Surgery inevitably inflicts some harm on the body. At the very least, it damages the tissue that is cut. These harms often are clearly outweighed by the overall benefits to the patient. However, where the benefits do not outweigh the harms or where they do not clearly do so, surgical interventions become morally contested. Cutting to the Core examines a number of such surgeries, including infant male circumcision and cutting the genitals of female children, the separation of conjoined twins, surgical sex assignment of intersex children and the surgical re-assignment of transsexuals, limb and face transplantation, cosmetic surgery, and placebo surgery. When, if ever, do the benefits of these surgeries outweigh their costs? May a surgeon perform dangerous procedures that are not clearly to the patient's benefit, even if the patient consents to them? May a surgeon perform any surgery on a minor patient if there are no clear benefits to that child? These and other related questions are the core themes of this collection of essays.

Genres: Philosophy

246 pages, Paperback

First published January 1, 2006

About the author

David Benatar (born 1966) is a South African philosopher, academic and author. He is best known for his advocacy of antinatalism in his book Better Never to Have Been: The Harm of Coming into Existence, in which he argues that coming into existence is a serious harm, regardless of the feelings of the existing being once brought into existence, and that, as a consequence, it is always morally wrong to create more sentient beings.

Benatar is vegan, and has taken part in debates on veganism. He has argued that humans are "responsible for the suffering and deaths of billions of other humans and non-human animals. If that level of destruction were caused by another species we would rapidly recommend that new members of that species not be brought into existence." He has also argued that the outbreak of zoonotic diseases, such as the COVID-19 pandemic, is often the result of how humans mistreat animals.

Benatar is an atheist and has stated that he has no children of his own.