I stopped to read a summary of this paper, mainly because I was struck by the thought that surgery may not be evidence-based... The best bit about this paper, for me, is that the authors have described the elephant in the room (or should that be in the operating theatre). Well done to them.
World J Surg. 2012 Aug;36(8):1723-31.
Evidence-based surgery: barriers, solutions, and the role of evidence synthesis.
Garas G, Ibrahim A, Ashrafian H, Ahmed K, Patel V, Okabayashi K, Skapinakis P, Darzi A, Athanasiou T.