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You may want to elaborate what you mean by personalized "surgery"; aren't all surgical procedures personalized to some degree?
Personalized genomic surgery, also known as PERSONALIZED SURGERY represents a new approach to health care that customizes patients medical treatment according to their own genetic information. (Thats the motive BRCA1 and RET Proto-Oncogene are mentioned in my question), you are right, all surgical procedures are personalized and unique, but this concept goes further to reach genomics ! We now can perform surgery according to the risk of developing disease to prevent some types of cancer. Im looking for more examples besides the 2 that I mentioned, looking forward to write a paper that clarify this concepts...
China's now has country policy to cut down medical costs that including cutting down surgeries, over medical care. Taiwan's MDs also noticed that to put more care for terminal stage or no quality life's patients is a suffering for MDs, patients and the whole society to share in the cost.
Should think about out of the box? For example, is there only amputation can save a gangrenous limb?
In one of my researches of the case report, amputation surgery spent a lot money and medical resources. But, all patients die within 5 years without a quality life plus metal suffering. Is it worth to do surgery? Besides, what surgery to do? The personalized care can put "should I do surgery or not? Is there a way to save the patient without surgery" as another out of the box thinking?
Should we only perform what we learned from school as the only particle? Such as I learned acupuncture and herbs to treat patients. Due to more and more severe sick patients they lost jobs and suffering, they could not pay me reasonable fee. I swore to find a cheaper approach to treat patients and to prevent people sick. I did find ways to do so. It' not only cheaper, but also simple to perform.
https://universaltcm.com/a-gangrene-case-2/
https://universaltcm.com/gangrene-wound-closing-case-report/
https://www.youtube.com/watch?v=-5c0c5I1wdg
"In one of my researches of the case report, amputation surgery spent a lot money and medical resources. But, all patients die within 5 years without a quality life plus metal suffering. Is it worth to do surgery? Besides, what surgery to do? The personalized care can put "should I do surgery or not? Is there a way to save the patient without surgery" as another out of the box thinking?"
Resources at hand versus the outcome (quality of life): In ancient native Indian tribes, it is claimed that the very old and feeble, with no realistic hope of improvement in their health, would say their goodbyes and simply go out of the warmth of their tepees to expose themselves to below freezing temperature for a relatively quick and peaceful end. It's the same old "box" but perhaps being relabeled.