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Was the orthopedic surgeon present in the operating room? If so then he basically did perform the surgery, even if the hands-on work was done by other members of the surgical team. If the surgeon wasn't present at all, and didn't make that clear during the pre-op consultation, then that would seem unethical.

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nonsense.

there is a world of difference between someone that does the procedure 50-100x/year, vs someone that does it 2x/year.

experienced surgeons operate faster. lower blood loss. no unnecessary trauma. less inflammation. less swelling, faster recovery, fewer side effects.

>experienced surgeons operate faster. lower blood loss. no unnecessary trauma. less inflammation. less swelling, faster recovery, fewer side effects.

Whether these relative differences add up to anything that matters depend a hell of a lot on the surgery in question and how good the "experienced surgeon" is in the first place.

Agree, and at some point you have to let the inexperienced surgeon operate or in 20 years there will be no experienced surgeons. Not to mention the "inexperienced" guy has been doing it for 4 years.

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