Conflict surgery represents surgery at the limits of environment, ethics, and endurance. This episode explores surgical care in war zones and conflict settings, where injuries are severe, resources scarce, and security uncertain.

We discuss ballistic and blast injuries, infection risk, delayed presentation, and the realities of operating without advanced imaging or intensive care. The episode also addresses neutrality, ethical dilemmas, and the psychological impact on clinicians delivering care in unstable settings.

This chapter reminds listeners that surgery is ultimately adaptable — guided by principles rather than technology — and that humane care remains possible even in the most austere conditions.

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