The term ''ritual'' is used in medicine primarily in a negative way. I
n a surgical context, it is usually used to refer to slavish, unthinki
ng devotion to technique or method, or to unnecessary surgical procedu
res that have outlived their usefulness. But there is another aspect o
f ritual that has received far too little attention from medical write
rs: ritual in its anthropologic sense as a form of stylized behavior t
hat serves as a vehicle for the transmission of meaning. Because a sur
gical operation is a structured process that takes place within a give
n social context, it can be analyzed as a ''rite of passage'' that hel
ps move the patient from ''illness'' to ''health.'' Understanding the
ritual aspects of surgical operations can help deepen the doctor-patie
nt relationship and improve the quality of care given to surgical pati
ents.