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In the 1800s, surgery faced significant challenges, primarily due to the lack of effective anesthesia, which made procedures extremely painful and traumatic for patients. Additionally, the understanding of infection and hygiene was rudimentary, leading to high rates of postoperative infections and mortality. Surgical techniques were often rudimentary, and there was limited knowledge of human anatomy, resulting in a high risk of complications. These factors contributed to a general reluctance among patients to undergo surgical procedures.

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