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Mortal Lessons: Notes on the Art of Surgery

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In this collection of nineteen unforgettable essays, Dr. Selzer describes unsparingly the surgeon’s art. Both moving and perversely funny, Mortal Lessons is an established classic that considers not only the workings and misworkings of the human body but also the meaning of life and death. With a Preface written by the Author especially for this edition.

220 pages, Paperback

First published January 1, 1976

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Richard Selzer

33 books32 followers

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5 stars
172 (40%)
4 stars
146 (34%)
3 stars
72 (16%)
2 stars
31 (7%)
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4 (<1%)
Displaying 1 - 30 of 35 reviews
Profile Image for Chad.
Author 34 books544 followers
April 30, 2018
Insightful, creative, and written with prose that soars. I’d have nominated it for a Pulitzer. It’s that well written. If you happen to view life theologically, as I do, this book is a mine from which you’ll pull barrels of gold. Read it.
Profile Image for stacy.
120 reviews17 followers
December 13, 2007
i can't help but have a little green in my eye regarding folk like selzer who have (at least) two monster gifts to give to the people--in his case, both are healing.
Profile Image for Erik Olsen.
27 reviews2 followers
July 5, 2021
Read this at the beginning of medical school as a gift from my uncle, a surgeon. It’s a poetic look at medicine and anatomy. For those of y’all in it, you know its sterile environment often does not do justice to the human experiences that happen day in and day out. This book helped me look for the bits of poetry hidden in the days. Excited to read it again this year with a few more of those moments under my belt.
Profile Image for David Cohen.
33 reviews
November 26, 2008
This book, written by a surgeon, was unlike any book I had ever read before. Each chapter is an engrossing story written by a passionate hand. Selzer found a way to combine his love for surgery and anatomy with exceptional dictiona and imagery. He is able to describe the human body from a perspective that is at once graphic and serene. This was an unforgettable novel.
Profile Image for keshi.
81 reviews16 followers
December 24, 2021
I only started reading this book because I came across a particularly beautiful excerpt, after which I decided that I absolutely had to read this book... and I wish I hadn't. This book was first published in 1974... whew boy, I wish I could say it's a product of it's time but honestly... nope. I'm not going to give it that excuse. There are a couple insensitive bits that are racist and sexist... and also an entire chapter about drinking where the author essentially shames people who don't drink... yikes. Also I completely lost my patience towards the end of the book where it's just a bunch of personal essays which was unnecessary and honestly, ones which I could've gone without. The writing is incredibly difficult and I swear he's made up several words in this book. Unbearable.
Profile Image for Evan Beacom.
34 reviews
April 3, 2020
Better medical essaying than the usual "my emotional struggle as a doctor" or "why I am a hero" on offer from more recent bestselling memoirs. Examines the human condition, the field of medicine...and himself only after these. In short, far more less dull than most in the genre.
19 reviews4 followers
June 18, 2010
Beautiful writing from one who recognizes that he could dissect a body, but never find the exact location of its soul. And funny, too. ;)
Profile Image for Ash  Huntly.
28 reviews
November 28, 2024
Overwrought, self-satisfied with the occasional hint and glimmer of real insight. Eventually completely undone by pernicious and flat attempts at moralising (one pro-life essay on abortion is particularly vile) and the sheer brute force trauma of its prose, which is so purple it left me feeling bruised.
Profile Image for Jack Bullion.
37 reviews13 followers
October 25, 2010
Imagine a med school anatomy class taught by a poet. Selzer makes the human body vivid, horrifying, ridiculous, and thrilling, often in the space of a single sentence. A remarkable book.
1 review2 followers
May 16, 2015
amazingly descriptive writing style...engaging and informative...a book that i will pick up and re-read often, no need to even read in order...inspires me creatively...highly recommended
Profile Image for Heather.
226 reviews4 followers
January 27, 2020
I got through about 60% of the book. But the way he was writing was starting to annoy me.
Profile Image for Nathan.
10 reviews
January 29, 2025
I have had this book on my list for a number of years ever since I stumbled across an excerpt online that was memorable enough to stick in my mind. I finally picked up a used copy on eBay last year during my library expansion project and it has patiently waited on my shelf until this January.

Selzer opens his book on surgery with several pages of ruminations about the whereabouts of the soul in the body, setting the tone for the remainder of the work to be grounded in his lifetime of knowledge concerning anatomy, but frequently rising far above those foundations and illuminating aspects of life that many of us would find difficult to approximate in natural language.

Not to say that the writing is strictly natural. You will learn at least four new words in the reading of this book if for no other reason than Selzer made them up himself to complete the turn of a phrase that has never before been seen in English. And he cannot be accused of these fabrications on account of any shortcoming of vocabulary or style. Both are available in abundance, coalescing into a kind of illegible prescription scrawl that fingerprint his chapters and defies comparison to any household literary name.

As a medical professional, Selzer is obviously comfortable with the aspects of human physiology that rarely feature in dinner table conversation, though I think the perspective is a healthy one to step into, especially for those of us who appreciate what the field of medicine has accomplished from the outside looking in.

After the first chapter, Selzer moves on from his overt search for the soul, though I must conclude that he never really abandons the chase. It may take strange forms along the way, including an unexplained segue into birdwatching, but it is always there under the surface of the narrative. That, above all else, is what makes Mortal Lessons so human. I am glad that among all the pursuits open to him in his retirement from surgery, Robert Selzer picked up a pen and wrote this book.
Profile Image for The DO.
77 reviews3 followers
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August 24, 2023
Don’t be put off by the titular reference to surgery or the publication date – this is (still) a great book.

Before there was such a thing as Narrative Medicine, before Abraham Verghese, MD, and Atul Gawande, MD, hit the bestseller lists, there was Richard Selzer, MD, a respected professor of surgery at Columbia University and a writer of uncommon grace and power.

Yes, Dr. Selzer was a surgeon, and many of his stories involve surgical situations, but this is not a book about surgery – it’s about the mystical connection between doctor and patient, doctor and disease, and the moment when detached observation becomes human engagement and clinical curiosity turns to wonder.

Read our entire review and see more book club selections on The DO!
This entire review has been hidden because of spoilers.
Profile Image for Wyatt Moran.
87 reviews
August 19, 2025
"Here, in the crook of this arm, where the loose skin lies in transverse folds, in this very place, she rested the back of her head, her hair so black and glossy I could see myself in the mass of it.
And from this lower lip she drew two drops of my blood, that I was glad to give her.
And look, this scar upon my cheek that marked the end of love between two brothers.
It is all here engraved, that which I was, that which I did, all the old stories, but now purified somehow, the commonplace washed away, rinsed of all that is ordinary, and glowing as they never did, even when they happened."

imagine a book written by a doctor and he likes to use really big words and that is what this book is. moments of shining prose but altogether a slog with the addition of a horrible pro-life essay to tie it all together. never seen the word "undulating" more in my life.
Profile Image for Nancy.
218 reviews
May 27, 2017
Such a lush, lovely book, filled with gorgeous language and images. Whoever thought I could be moved, or even interested in, an essay titled "Liver"? There is an intermingling of seriousness with sly & clever humor, beauty and queasiness (at least on my part). The essay "Abortion" is why the book drew me, and is well worth reading, as is the remainder, the bulk of which is medically related essays plus some reflections on the author's early life.
Profile Image for Jonathan.
182 reviews10 followers
January 4, 2020
Saw this book referenced in another book I was reading so I followed up and read it for myself.

Selzer is a really funny writer and this collection of essays on different parts of the body (liver, heart, brain, spine) and his stories of being in the theatre of surgery were fun to read.

The end of the book drags on a bit, as he steers away from the medical theme...but up to that point it’s a great and fun read.
Profile Image for Johnathon.
90 reviews1 follower
March 29, 2018
This collection of philosophical essays by a surgeon turned writer showed promise, but I think I should've read 1 of his other books first. I will read Rituals of Surgery based on the potential shown here, but often times these essays just went deep into anatomy and surgical procedures and added flowery literary metaphors.
Profile Image for Pat.
381 reviews7 followers
July 28, 2022
Being in the medical field I found this book quite entertaining! I loved the review of all of the body systems which included his comical one-liners that would be easy to miss if you weren’t paying close attention. All in all an entertaining read!
109 reviews
March 25, 2025
Maybe Abraham Verghese spoilt this for me…. I was looking for tales of human compassion and surgical innovation and while some os Seltzer’s early essays were insightful, they gradually became more academic and turgid, then the final set changed direction entirely. Very uneven.
Profile Image for Dylan Griswold.
6 reviews1 follower
July 6, 2019
Amazing book. Every medical student, resident, physician would benefit from reading it.
30 reviews
August 29, 2021
What lovely prose, what hysterical dramatics! Selzer is unfailingly charming and comic; what I wouldn't do to chat with him.
Profile Image for Kasey Tritch.
49 reviews2 followers
November 29, 2022
Hands down the very best book I’ve read on the minutiae, fragility, and absurdity of our bodies. What it means to be a physical being navigating the world as a spiritual presence.
Profile Image for Katherine D.
23 reviews
October 13, 2024
Surgery as poetry. A bittersweet look into what the art of medicine used to be.
Profile Image for Nicholas Bonnin.
23 reviews
June 12, 2025
Ugly. I can understand why a doctor would like this, given their tendency towards narcissism and general lack of taste. I can not fathom how anyone else could stand this whale of junk.
Profile Image for Chris.
18 reviews
February 12, 2011
Selzer is a little too exotic in his choice of words and allusions, but it is fun to have such explorations by a surgeon, where these things are at times the antithesis of the personality of a surgeon. Any surgeon who attempts to capture surgery on paper should be commended. Selzer is very good and I absolutely loved the essay called the Knife.
Profile Image for Valerie.
74 reviews
July 29, 2007
I know about this because of Lacy. It is a very important book.
Displaying 1 - 30 of 35 reviews

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