The Operation is a clever well-written medical thriller about the impact that social media hysteria can have on a surgeon unjustly accused of a terrible crime. I had read all three of this author’s brilliant DI Anna Gwynne series in the last year or so, and confess to slight disappointment that this was another stand alone, rather than a return to the adventures of capable Anna and fascinating Hector Shaw, but ended up really enjoying this. I bought The Appointment, having bought it after missing out on an ARC, so need to bump it up the TBR.
Jacob Thorn is a successful general surgeon at an Oxford hospital with a burgeoning private practice, a gorgeous if controlling girlfriend, Sarah, and hopes of moving into a desirable new home. His only problem in life is that Sarah won’t let him get a dog, so instead he walks Sid, a boisterous rescue Labrador-Rottweiler cross for a local shelter.
When Katy, a beautiful young nursing colleague, disappears after a leaving-do at a pub, his life is turned upside down by the release of a video showing him arguing with her days before, the police question him and the press immediately start pointing the finger at him, leading to nationwide online vilification and even public harassment. Then messages arrive threatening that Katy will be killed using a knife with his prints if he does not confess to the murder of a patient years earlier - one he remembers nothing about. Facing condemnation from colleagues and strangers alike, how will he save his freedom and his career?
When I started this and discovered it was written in First Person Present, which I despise (I know plenty of people like it but I find it completely distracting and annoying.) I wanted to abandon it, but I had committed to reviewing it before publication for the Bloodhound ARC group, and seen plenty of positive comments from other readers, so decided to grit my teeth and push on. Fortunately not all of it is Jake’s POV, there are chapters showing the police investigation written in standard third person past. There are extensive sections of Jake’s internal monologue about everything, from hospital politics to current TV programmes, for which the present tense felt appropriate. I found these interesting but non-medical people might find it a bit much.
There was also way too much detail about everything that Jake eats and drinks. Some details of his life flesh out a character but too much felt like padding. It did mean that the plot takes a while to get moving - it’s 30% in before anything which could be considered thrilling happens, but from then on I was appropriately gripped trying to work out what was going on.
I had not realised from reading the author’s other books that he is actually a medical doctor, but that became abundantly clear quite early on here, as he accurately describes everyday scenes of hospital life, from the operating theatre to the dreaded HR meetings, with all the associated stresses facing doctors that the public know nothing about. The interspersed twitter quotes were a painful reminder of how much some people hate us - until of course they need us! It’s a long time since I’ve worked in a hospital or for the NHS, but a really good reminder of why I never went back. It’s not that trolls are any less vicious here in NZ (and props to the author for the various New Zealand references in the book!) but the system here is not so demoralising and underfunded as in the UK.
I thought there were perhaps a few too many clues, so I guessed who was behind part of Jake’s troubles fairly early on, but totally didn’t predict the rest of it, and liked the way it all panned out, especially the ending which was perfect. I’m always worried in books which feature an animal that something terrible will happen to them which can make reading rather stressful, so I’m happy to reassure fellow animal lovers that nothing bad happens to Sid.
I thought the dialogue was very well done, I particularly enjoyed the banter between Jake and his anaesthetist colleague was pretty funny. Oh and the cover image is great - unusual but completely appropriate. Overall I can thoroughly recommend this and look forward to whatever Young comes up with next (but I still hope Hector’s in it!) 4.5 rounded down for the use of the present which turned out to be completely unnecessary.
My thanks to Heather Fitt at Bloodhound for the ARC in exchange for an honest review. The Operation is available now.