Conformity: The hidden actor in surgical decisions

Conformity in decision making has a relevant impact in surgical environments. This manuscript reveals how group opinions can distort the surgeon's individual judgment, even in critical situations. Two key phenomena are analyzed: communication cascades and group polarization, which amplify conformity and lead to extreme and sometimes harmful decisions. It is important to highlight the importance of evidence-based education, critical thinking, and diversification of information sources to counteract the negative effects of conformity. Self-identifying conformist tendencies, encouraging open debate, and implementing constructive dissent strategies can help mitigate the effects of conformity on decision making. Reviewing authority models and promoting diversity in surgical settings can improve decision making and the quality of patient care.