Evidence map›Paper›PMID 41664712›Full record

ReviewCureus2026

The Responsibility to Transform: Ethics and Training in Plastic Surgery.

Celina V Kishi

Abstract readReview
In one paragraph

Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Celina V KishiEducation and Clinical Research Department, Instituto Jalisciense De Cirugía Reconstructiva, Guadalajara, MEX.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Plastic surgery occupies a distinctive ethical space in medicine, where interventions alter appearance, identity, and social meaning. Yet surgical training has traditionally emphasized technical skill while leaving the cultural and moral dimensions of transformation insufficiently explored. This narrative review examines the ethical foundations of aesthetic and reconstructive practice and the pressures that shape surgical judgment, including the hidden curriculum, globalized beauty ideals, and gendered dynamics in training environments. These forces narrow patient autonomy and normalize aesthetic templates that may obscure individual identity. We propose a concise framework for ethical training that links technical safety with reflective practice and positions the patient's narrative at the center of decision-making. Ethical formation strengthens, rather than competes with, surgical excellence by fostering discernment, cultural awareness, and respect for individuality. The responsibility to transform applies not only to patients but to the surgeons whose professional identity is shaped through training.

Indexed as

aesthetic normscultural influencesdecision-makingethical traininghidden curriculumnarrative competenceplastic surgery ethicsprofessional identitysurgical judgmenttraining environment

Identifiers

PMID41664712
PMCPMC12883230

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.