Ethical Considerations for Generative Artificial Intelligence in Plastic Surgery

Summary:. The integration of artificial intelligence (AI) into surgical care is rapidly transforming healthcare by enhancing efficiency, clinical decision-making, and patient outcomes. Generative AI (genAI), a subfield using large language models such as ChatGPT, Bard, and Midjourney, holds signific...

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Main Authors: Ravi Dhawan, MS, Kendall Douglas Brooks, MD, MSCE, Orr Shauly, MD, Denys Shay, MD, Albert Losken, MD, FACS
Format: Article
Language:English
Published: Wolters Kluwer 2025-06-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006825
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author Ravi Dhawan, MS
Kendall Douglas Brooks, MD, MSCE
Orr Shauly, MD
Denys Shay, MD
Albert Losken, MD, FACS
author_facet Ravi Dhawan, MS
Kendall Douglas Brooks, MD, MSCE
Orr Shauly, MD
Denys Shay, MD
Albert Losken, MD, FACS
author_sort Ravi Dhawan, MS
collection DOAJ
description Summary:. The integration of artificial intelligence (AI) into surgical care is rapidly transforming healthcare by enhancing efficiency, clinical decision-making, and patient outcomes. Generative AI (genAI), a subfield using large language models such as ChatGPT, Bard, and Midjourney, holds significant promise in automating tasks such as surgical planning and discharge summaries. However, it raises concerns about misinformation, data breaches, biases, and misuse. No genAI technology has yet received Food and Drug Administration approval for surgical use, emphasizing the need for thorough regulatory evaluation. This article proposed 5 ethical principles, adapted from World Health Organization recommendations, to guide the adoption and governance of genAI in plastic surgery. These principles include ensuring data transparency, maintaining patient autonomy, prioritizing safety and accountability, promoting equity, and investing in sustainability. Each principle is illustrated with a hypothetical case to highlight potential ethical breaches and the importance of rigorous testing, clear communication, and continuous monitoring. By adhering to these guidelines, stakeholders can ensure that genAI serves to enhance patient care and uphold the highest standards of ethical practice in surgical settings.
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issn 2169-7574
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publishDate 2025-06-01
publisher Wolters Kluwer
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series Plastic and Reconstructive Surgery, Global Open
spelling doaj-art-8380a54ba4ab43e39391068eb8fe0f202025-08-20T02:10:28ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742025-06-01136e682510.1097/GOX.0000000000006825202506000-00001Ethical Considerations for Generative Artificial Intelligence in Plastic SurgeryRavi Dhawan, MS0Kendall Douglas Brooks, MD, MSCE1Orr Shauly, MD2Denys Shay, MD3Albert Losken, MD, FACS4From the * Department of Plastic Surgery, Emory University School of Medicine, Atlanta, GAFrom the * Department of Plastic Surgery, Emory University School of Medicine, Atlanta, GAFrom the * Department of Plastic Surgery, Emory University School of Medicine, Atlanta, GA† Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA.From the * Department of Plastic Surgery, Emory University School of Medicine, Atlanta, GASummary:. The integration of artificial intelligence (AI) into surgical care is rapidly transforming healthcare by enhancing efficiency, clinical decision-making, and patient outcomes. Generative AI (genAI), a subfield using large language models such as ChatGPT, Bard, and Midjourney, holds significant promise in automating tasks such as surgical planning and discharge summaries. However, it raises concerns about misinformation, data breaches, biases, and misuse. No genAI technology has yet received Food and Drug Administration approval for surgical use, emphasizing the need for thorough regulatory evaluation. This article proposed 5 ethical principles, adapted from World Health Organization recommendations, to guide the adoption and governance of genAI in plastic surgery. These principles include ensuring data transparency, maintaining patient autonomy, prioritizing safety and accountability, promoting equity, and investing in sustainability. Each principle is illustrated with a hypothetical case to highlight potential ethical breaches and the importance of rigorous testing, clear communication, and continuous monitoring. By adhering to these guidelines, stakeholders can ensure that genAI serves to enhance patient care and uphold the highest standards of ethical practice in surgical settings.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006825
spellingShingle Ravi Dhawan, MS
Kendall Douglas Brooks, MD, MSCE
Orr Shauly, MD
Denys Shay, MD
Albert Losken, MD, FACS
Ethical Considerations for Generative Artificial Intelligence in Plastic Surgery
Plastic and Reconstructive Surgery, Global Open
title Ethical Considerations for Generative Artificial Intelligence in Plastic Surgery
title_full Ethical Considerations for Generative Artificial Intelligence in Plastic Surgery
title_fullStr Ethical Considerations for Generative Artificial Intelligence in Plastic Surgery
title_full_unstemmed Ethical Considerations for Generative Artificial Intelligence in Plastic Surgery
title_short Ethical Considerations for Generative Artificial Intelligence in Plastic Surgery
title_sort ethical considerations for generative artificial intelligence in plastic surgery
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006825
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