What may be a surprise to some is that healthcare providers may decline to honor an advance directive and that frequently is the case during surgery especially for a fairly healthy individual. Doctors want (need) to have discretion if something does not go as planned during surgery.
This does not mean that advance health care directives do not work. They work extremely well and it is very important to have executed such a document. Just understand that surgeons may suspend the directive. As soon as the patient is out of surgery, it is once again valid!
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