Abstract
In the course of my surgical career I have witnessed many groundbreaking developments that have dramatically improved and saved patients' lives and been truly transformational. Such breakthroughs have invariably occurred from a combination of science, surgical ingenuity and skill underpinned by the enthusiasm and drive of a variety of surgical innovators and medical device manufacturers. We should all be proud of the progress that has been made and the lives that have been saved and improved. However, from time to time I have also witnessed scandals involving surgical implants that have marred the reputation of not only the manufacturers but also, on occasion, the surgeons involved. These scandals have a significant impact on the specialty and can often inhibit progress, cause suffering to patients and destroy professional lives.
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