Surgeons face unique challenges in their field, often resulting in mental health struggles. Dr. Carrie Cunningham, a leading figure in surgery, addressed her own battles with depression and substance use during a speech titled “Removing the Mask.” This speech not only resonated with her audience but also sparked conversations about mental health in the surgical community.
Her candid remarks drew attention, emphasizing that even those at the pinnacle of success face struggles. “I am a person with lifelong depression, PTSD, and now a substance use disorder,” she revealed, showing that professional accolades do little to shield one from mental health issues.
A staggering statistic highlights the severity of the situation: around 75% of general surgery residents show signs of burnout, with nearly 40% experiencing depression. This may stem from the immense pressures surgeons face, including long hours, intense responsibility for patient outcomes, and the ever-demanding work-life balance. Dr. Kamal Itani underscored the need for resources to support surgeons’ mental well-being.
Dr. Sangki Oak, a fifth-year surgical resident and military veteran, shared his unique perspective. His transitions from military service to medical training were fraught with challenges, including mental health crises. He explained, “I tell my fellow residents that residency is harder than war. In the military, we relied on each other; in surgery, it’s often a solitary battle.” This culture leaves many surgeons feeling isolated, battling demons alone.
Understanding the difference between pain and suffering can be vital for surgeons’ wellness. Pain is physical; suffering often envelopes emotional or psychological struggles. Dr. Mary Brandt pointed out that emotional support for colleagues is crucial. She believes the surgical community should foster an environment of empathy and proactive outreach rather than solely focusing on clinical solutions to emotional distress.
Moreover, regular self-assessment is essential. Dr. Tasha Hughes advocates for naming emotions — recognizing feelings of frustration, pride, or anxiety can significantly help in maintaining mental health. Tools like the Patient Health Questionnaire can facilitate this self-examination.
Dr. Stanley Ashley highlighted the importance of integrating surgeon mental health into institutional strategies. At Brigham and Women’s Hospital, a mental health program designed for faculty and trainees offers accessible support without the stigma sometimes associated with seeking help. This initiative serves as a model for other institutions to adopt.
Lastly, a robust support system among peers is paramount. Dr. Timothy Mahoney drew parallels between the camaraderie in law enforcement and the surgical community’s need for mutual support. “We should champion one another’s wellness with the same enthusiasm,” he noted, advocating for an environment where mental health is openly discussed and prioritized.
As healthcare continues to evolve, recognizing and addressing the mental health needs of surgeons is not just beneficial but crucial. The fight against the stigma surrounding mental health struggles in this field is ongoing, but with leaders like Dr. Cunningham and her colleagues leading the way, change is on the horizon.
For more resources on mental well-being in healthcare, visit the American College of Surgeons website.

