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There is no doubt that sixteenth-century surgeon Gaspare Tagliacozzi would be astonished by the medical innovations that have made facial transplantation possible, and rightfully proud of his early contributions. I doubt, however, that he would be interested in the recent debate about whether the benefit of these experimental surgeries for severe deformities outweighs the psychological impact of an altered face and the increased morbidity and mortality from immunosuppression therapy. He was not deterred from trying to reconstruct deformed noses, lips, and ears by charges that he was subverting the will of God. Nor was he deterred by the lack of pain control or the risk of mortality from shock and infection. Patients' desire to undergo his elective procedures to look less deformed-at a time when surgery was a dangerous, brutal craft-speaks volumes about the social and psychological value of his reconstructive work

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• Venus envy

  Elizabeth Haiken•Venus envy•1997

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