No, it doesn’t. Medical mistakes are harmful and not malicious. I agree with you that unconscious harm is a bigger problem (at least in many contexts and probably on net) than conscious harm, but a successful surgery (onethat leaves the patient better off) isn’t either of those.
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I doubt there is any disagreement here that competently performed surgery is not unethical. the competence of the surgeon is a measure of their virtue (in the domain of surgery). the success of the surgery is a measure of the net positive consequences of the procedure.
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The reason of course is expectation of net benefit, ideally backed by legally registered confidence of the patient in same benefits
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