Surgeons can have an impact on patients and communities that goes well beyond the operating room. This month on Ethics Talk, we discuss how the concept of "surgical justice" can help plastic surgeons deliver better care topatients and communities.

When patients are unable to express their wishes and do not have surrogates or advance directives, which and whose values should inform decision making for them? We discuss ethical complexities of caring for unrepresented patients.

Dr Laura Guidry-Grimes helps us consider whether and which decisions can be shared with people experiencing mental illnesses.

Author Ryan Sallans discusses his experience accessing health care and suggests how to take good gynecological care of transmen.

Dr Anna L. Westermair joins Ethics Talk to discuss her article, coauthored with Dr Manuel Trachsel: “Moral Intuitions About Futility as Prompts for Evaluating Goals in Mental Health Care.”

Dr Jonathan Treem joins Ethics Talk to discuss his article, coauthored with Drs Joel Yager and Jennifer L. Gaudiani: “A Life-Affirming Palliative Care Model for Severe and Enduring Anorexia Nervosa.”

Dr Awais Aftab joins Ethics Talk to discuss his article: “What Should Clinicians Know About Palliative Psychopharmacology?”

This month, AMA Journal of Ethics' theme editor Cameron Waldman, a second-year medical student at Albany Medical College, interviewed Aron Janssen, MD, about how healthcare professionals can better serve their transgender patients.

AMA Journal of Ethics theme editor Emily Johnson, a fourth-year medical student at the University of Colorado School of Medicine, interviewed Susan Mizner, JD, about some merits, drawbacks, and alternatives to guardianship.

Eva V. Regel joins Ethics Talk to discuss her article: “How Should Clinicians Help Homeless Trauma Survivors Make Irreversible Surgical Care Decisions?”