There are situations, particularly amongst doctors living in the Third World, or even in very remote areas (of any country), that are presented to her, whether or not she is a surgeon. Even if she is a general practitioner, it is the doctor who is duty-bound to help, for she is the most qualified of all and to whom folks will turn to when such situations occur. If she is a Pre-Hospital Care Provider, in disaster or war situations, it is up to her to provide advanced medical procedures, before the patient makes it to the distant hospital. This is a book for those extreme situations, where action must be taken, at a time when conditions are not the ones one would wish for. If you think you might be in that situation, if you plan to stay 6 months in the Amazon jungle amongst the indians near a zone with land conflict, or you plan to work as a GP in catastrophies, I think this is a book you might want to have. The surgeon guy might not be around when you need him most...There are times for administering pills, and there are times that require a ligature.