The proposal to extend clinical trials, which are routinely used as systematic tests of pharmaceutical innovations, to new surgical procedures should not be implemented.
Conclusion
The proposal to extend clinical trials to new surgical procedures should not be implemented.
Evidence
Drugs and surgery differ in one important respect: a correctly prescribed drug's effectiveness depends only on the drug's composition, while even the most appropriate surgical procedure's effectiveness depends on the surgeon's skill.
Evaluate
The author argues that because surgery effectiveness depends on surgeon skill, clinical trials wouldn't be useful. But clinical trials don't only assess effectiveness — they can also reveal whether a procedure is intrinsically harmful. Even if surgeon skill varies, a trial can still surface that a particular procedure is more harmful than existing alternatives. The author's argument overlooks this whole purpose of trials.
Goal
Find the answer that points out the author has ignored a use of trials that surgeon-skill variation doesn't undermine — specifically, detecting intrinsic harm of the procedure.