The Sinistral Surgeon: Turning Challenges into Triumphs in Eye Surgery The operating room, a sanctuary of precision and focus, presents unique challenges for a left-handed surgeon—a "sinistral surgeon" navigating a right-handed world. For me, this humble journey of resilience, adaptability, and innovation began with obstacles but transformed into a story of triumph and mastery. Having performed over 100,000 eye surgeries, I’ve witnessed firsthand how embracing challenges can redefine limitations into extraordinary strengths. During my residency at PGIMER, Chandigarh, I often marveled at the dexterity of my mentors as they performed intricate surgeries. Yet, I quickly realized my own path would be different. As a left-handed trainee, most instruments, surgical setups, and teaching methods felt counterintuitive, tailored for right-handed practitioners. This made me question my abilities at times, but it also fueled a desire to adapt and excel. The real turning point came during my fellowship at Sydney Eye Hospital, under the guidance of the exceptional Dr. E. John Milverton. Dr. Milverton, once a left-handed child, had been compelled by his schoolteachers to become right-handed. Despite the pressures, he emerged as an ambidextrous surgeon whose skills were unparalleled. His mentorship proved invaluable to me. One piece of advice stands out: “Use every moment to practice.” These words shaped my approach to challenges and opportunities alike. Inspired by him, I began using my commute on Sydney’s trains to practice drawing circles and triangles, and even writing my name with my non-dominant right hand. In the wet lab, Dr. Milverton encouraged me to refine suturing techniques, including repairing corneal tears, with my right hand. These deliberate practices helped me develop ambidexterity, a skill that profoundly changed my surgical capabilities. Globally, left-handed surgeons make up only 10% of the population, yet studies suggest they possess unique spatial awareness and problem-solving skills that can provide an edge in complex surgeries. However, the road is far from easy. Instruments like phacoemulsification probes, microscopes, and foot pedals are predominantly designed for right-handed use, often requiring left-handed surgeons to adapt creatively. I vividly recall a challenging cataract surgery involving a patient with traumatic aniridia. Using techniques honed through ambidextrous practice, I completed the procedure successfully, reaffirming the value of resilience and adaptability. My journey as a sinistral surgeon has taught me that left-handedness is not a limitation but an opportunity to innovate and excel. Developing ambidexterity not only enhanced my surgical precision but also broadened my perspective on patient care. As the Director of SuVi Eye Hospital in Kota, I am passionate about imparting these lessons to the next generation. Our observership/training programs emphasize inclusivity, providing equal opportunities for both left- and right-handed residents. By incorporating customized wet lab exercises and advanced simulators, we encourage all trainees to embrace ambidexterity as a transformative skill. The journey wasn’t without emotional challenges. Early in my career, I often felt isolated, grappling with the lack of left-handed mentors and the constant need to adapt to right-handed methods. Research confirms that left-handed trainees frequently report higher levels of anxiety and lower confidence. But with encouragement from mentors like Dr. Milverton, I navigated these obstacles and discovered my unique path. Performing over 100,000 eye surgeries has given me invaluable insights into the importance of resilience and innovation in ophthalmology. Research suggests that left-handed surgeons who develop ambidexterity often demonstrate lower complication rates and greater adaptability in complex procedures. These qualities are particularly valuable in fields like ophthalmology, where precision is paramount. As the medical profession evolves, it is crucial to foster an environment that supports surgeons of all dominant hands. Redesigning instruments, fostering inclusivity, and implementing structured training modules are vital steps to ensure left-handed trainees can thrive. Studies have shown that such initiatives not only improve skill acquisition but also reduce stress and burnout. Reflecting on my humble journey, I realize that left-handedness was never a disadvantage—it was a unique strength waiting to be harnessed. The road to becoming an ambidextrous surgeon was challenging but immensely rewarding. By embracing my uniqueness and pushing beyond conventional boundaries, I discovered that true mastery lies in transforming challenges into opportunities. The sinistral surgeon is not an anomaly but a testament to the diversity, resilience, and innovation within the medical profession. As we continue to push boundaries and redefine what is possible, the contributions of left-handed surgeons will inspire generations to come. Dr. Suresh K. 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