Deviant Terminology in Oncological Reconstructive Surgery: Implications for Communication and Ethical Practice

Effective communication in oncological reconstructive surgery is fundamental to ensuring patient comprehension, trust, and informed consent. Yet, the use of deviant terminology-language that is misleading, euphemistic, or excessively technical-can obstruct doctor-patient understanding. This article examines how such terminology, common across both clinical and promotional settings, affects patients' interpretation of reconstructive and restorative procedures following cancer treatment. Expressions such as "minimally invasive" or cosmetic marketing terms like "mommy makeover" may obscure the complexity and risk of interventions, while excessive jargon can alienate patients. These linguistic distortions risk undermining informed consent and shared decision-making. To address this, surgeons working within oncological contexts should prioritise plain language, apply the teach-back method, and adopt standardised terminology supported by professional associations. Furthermore, cultural competence and visual decision aids can enhance comprehension, particularly among diverse patient populations. By aligning terminology with medical accuracy and patient needs, reconstructive surgeons can promote transparency, safety, and patient-centred care throughout the oncological journey.