AODr. Ariel Ortiz®
Legacy

Chapter 03 · 1980s

The First Operating Room

A cesarean section, a young observer, and the realization that surgery is choreography — not solo performance.

There are moments in life that quietly change everything. At the time, they feel almost ordinary. Only years later do we recognize them as turning points.

For me, one of those moments happened during medical school. One of my classmates was the son of a very well-known gynecologist. Through that friendship, we were invited to observe a cesarean section.

I had never experienced anything like it.

Choreography, not surgery

Many people imagine that a first visit to an operating room is frightening. For me, it was exactly the opposite. I was fascinated.

What caught my attention was not the blood. It was not the incision. It was not even the baby being delivered. What fascinated me was the choreography. The operating room looked like a perfectly rehearsed ballet.

The surgeon operated with calm precision.

The anesthesiologist continuously monitored the patient.

The scrub nurse anticipated every instrument before it was requested.

The circulating nurse coordinated everything happening around the room.

Each individual was performing a completely different task, yet every movement contributed to a single objective. There was no unnecessary motion. No confusion. No chaos. There was rhythm. Discipline. Trust.

It reminded me of watching an orchestra. Even today, after tens of thousands of operations, I still think of the operating room as an orchestra. A great surgeon is never a solo performer.

Belonging

As I stood there observing my very first operation, I realized something else. The operating room represented the perfect combination of everything that had fascinated me since childhood — engineering, mechanics, biology, problem solving, leadership, human relationships, responsibility, precision.

Every one of those disciplines existed simultaneously inside that room. It was engineering applied to human life. I was not intimidated by the complexity. I was attracted to it. The more complicated it appeared, the more I wanted to understand it.

I wanted to know why every instrument existed. Why every movement mattered. Why every person stood where they did. Why the surgeon made each decision.

Looking back today, that curiosity has never changed. Whenever I enter an unfamiliar operating room anywhere in the world, I still begin by observing — workflow, positioning, ergonomics, communication, instruments, technology. I instinctively begin asking myself the same question I asked as a medical student: how could this work even better?

A spiritual experience

There was something almost spiritual about the experience. The operating room demanded complete presence. No room for distraction. No room for ego. No room for carelessness. Every decision carried consequences. Every member of the team trusted one another completely.

I did not leave thinking, 'I want to become a doctor.' I already knew that. I left thinking, 'I belong here.'

Sometimes people ask me when I knew I had found my purpose. I always return to that room. That was the moment — not because I watched a successful operation, but because I recognized the environment where I wanted to spend the rest of my life.