Not a medical professional, but I thought surgery is supposed to be the last resort. Perhaps the doctor determined that the symptoms are that severe.

Also, I kinda ignored it previously in this series because the situations tend to be emergencies, but shouldn’t he inform the patients about the risk of surgery before getting their consent?

Lastly, I thought Carpal Tunnel is a programmer’s thing, so I was quite surprised to learn that it is indeed a common affliction for blacksmiths (or any occupation that uses their hands a lot). As usual, this author did their homework.