The Great Pox and the Surgeon's Role in the Sixteenth Century

The sixteenth century saw a shift in perceptions of the scope of surgery. The medieval focus on elevating the status of surgery had been accompanied by a certain distancing of surgery from manual operations, but the medical humanism of the sixteenth century embraced manual skills as an important part of medicine, most noticeably in the case of anatomy. In the first part of this paper I use accounts of the treatment of ulcers as a way of exploring these changes in perceptions. Ulcers were a well-known surgical ailment in medieval medicine, but in the sixteenth century they were also associated with the Great Pox. This made their treatment an important test case for establishing the scope of surgery and ultimately led Gabriele Falloppio to claim that ulcers from the Pox were not a part of surgery at all. In the second half of the paper, I look at sixteenth-century descriptions of surgery found in works on surgery and anatomy and note how important the idea of the efficacy of surgical treatment was in them. I conclude by suggesting that the concern with efficacy was itself another aspect of the arrival of the Pox.