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Reply to "Can this surgery be done without giving blood transfusions?"

It's often tricky to effectively assess risks. In this case the surgical risk of death would change from negligible to quite real, and the risk of serious complications would also rise. This would be chiefly influenced by the specific risk (for a given surgery) of severe or uncontrolled bleeding. Some surgeons will be willing to let you assume that risk, while many others will perceive it as unacceptable. No surgeon likes it much when a patient's choice creates a surgical failure.

Every surgery is considerably riskier when it must be undertaken under adverse conditions. When life-saving tools cannot be used, whether because they're unavailable or because they're forbidden, lives really will be lost and damaged more often. Most of us feel differently about risk after it bites us, and is no longer abstract.
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