This book was born out of lived experiences rather than theory. After many years working in operating rooms across different healthcare systems, cultures and leadership structures, one question followed me everywhere: Who do you think is the boss of the operating room? The question was often asked casually, sometimes confrontationally and occasionally with genuine curiosity. It reflects a deeper struggle within healthcare: the tension between hierarchy and teamwork, authority and accountability, title and responsibility. This book is leadership-focused, not to crown a single role, but to challenge traditional thinking and to highlight how effective leadership in the operating room directly impacts patient safety, staff morale and surgical outcomes.
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