This is a superb book. Gawande describes the trials, tribulations, and rewards of his surgical residency beautifully, with a collection of essays, comprising anecdote and musing, on various aspects of medicine. Yet despite the fragmented nature of the structure, the book flows well and gels nicely into a whole. Particularly fascinating are his thoughts on the intractability of pain, what makes a good doctor go "bad", and the perceived invulnerability of modern medicine, which he strips away with the same skill you can imagine him stripping away layers of tissue. Never failing to surprise, educate, and emote, this is a marvellous read, definitely in the "un-putdownable" category. The only reason it doesn't receive a fifth star from me is that it isn't in my top ten greatest books ever - but that is a personal quirk, nothing more. Highly, highly recommended.