According to the statement, a surgeon should be presented with more difficult cases. Tough cases challenge surgeons, as they involve more risks and increased probability of mortality. The risk of patient death might cause a surgeon to be reluctant to do surgery. If a surgeon’s high patient mortality rate was made public, patients would not want that surgeon to operate on them.

Publicising mortality rates of a surgeon can create unnecessary stress on the doctor. The pressure of having a high mortality rate can cause the surgeon to make unnecessary mistakes during surgery. It can also lead to demotivation and loss in confidence. In addition to this, public mortality rate records can be misleading as they do not provide important information such as the cause of death and duration of hospital stay.

On the other hand, some may argue that league tables should not affect a doctor’s confidence. It does not matter what their mortality rates are. They should always treat patients to the best of their ability and should always act in a patient’s best interest. A patient should have some knowledge about their doctor as they are putting their lives into a surgeon’s hands.

The performances of surgeons should not be available online for everyone to see as they can have negative outcomes. However, it should be compulsory for a surgeon to first inform their patient about their mortality rates. This can help the patient to make an informed decision and also keep the records private.