Not a doctor so a surgeon can provide more detail but even if a surgeon executes the surgery flawlessly, there’s always risk of complications.
There’s always a risk of post-op complications, higher risk with more invasive procedures. Sometimes the patient develops an infection. Sometimes, the initial damage was so severe that even with the best surgical efforts, they are unable to recover. Other times, patients are too sick or weak and end up dying on the operating table.
Over time with many patients, we get an idea of how successful the surgery is. The survival chance is not “how good the surgeon is,” it’s more like how successful is this specific surgery in treating/curing the specific condition that caused the procedure to be necessary
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