As a side note, I learned about the complicated surgery years ago.  I was a green CPA just out of school when my boss received a letter from the "Swedish Hospital" in Denver.  This was in the days prior to scanners and personal computers.  Anyway the letter came on what looked like some official letterhead explaining to my boss what the surgery entailed and that he was scheduled for the surgery on such a date and time to help correct his sh***y outlook on life.  It came from a close friend of his who was the master of practical jokes.  Over the years I have come across a lot of people that could use the surgery.