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The Butchering Art: Joseph Lister’s Quest to Transform the Grisly World of Victorian Medicine Hardcover – 17 Oct. 2017
DAILY MAIL, GUARDIAN AND OBSERVER BOOKS OF THE YEAR 2017
Winner of the 2018 PEN/E.O. Wilson Prize for Literary Science Writing
Shortlisted for the 2018 Wellcome Book Prize
Shortlisted for the 2018 Wolfson Prize
The story of a visionary British surgeon whose quest to unite science and medicine delivered us into the modern world - the safest time to be alive in human history
Victorian operating theatres were known as 'gateways of death', Lindsey Fitzharris reminds us, since half of those who underwent surgery didn't survive the experience. This was an era when a broken leg could lead to amputation, when surgeons often lacked university degrees, and were still known to ransack cemeteries to find cadavers. While the discovery of anaesthesia somewhat lessened the misery for patients, ironically it led to more deaths, as surgeons took greater risks. In squalid, overcrowded hospitals, doctors remained baffled by the persistent infections that kept mortality rates stubbornly high.
At a time when surgery couldn't have been more dangerous, an unlikely figure stepped forward: Joseph Lister, a young, melancholy Quaker surgeon. By making the audacious claim that germs were the source of all infection - and could be treated with antiseptics - he changed the history of medicine forever.
With a novelist's eye for detail, Fitzharris brilliantly conjures up the grisly world of Victorian surgery, revealing how one of Britain's greatest medical minds finally brought centuries of savagery, sawing and gangrene to an end.
- Print length304 pages
- LanguageEnglish
- PublisherAllen Lane
- Publication date17 Oct. 2017
- Dimensions16.2 x 2.9 x 24 cm
- ISBN-100241262496
- ISBN-13978-0241262498
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Review
Gloriously pulsating ... [Fitzharris] has an eye for morbid detail, visceral imagery and comic potential. From out of this hellish vision, Lister emerges as the cool, modern, scientific saviour to whom we should all give thanks -- Wendy Moore ― Guardian
Atmospheric ... The Butchering Art has its share of resplendent gore -- Jennifer Senior ― New York Times
Thoroughly enjoyable ... With The Butchering Art, Fitzharris explores the intersection of Lister's life, the development of antiseptic surgery, and the horrors of the wards with an almost surgical precision -- Nicola Davis, 'Book of the Day' ― Observer
The Butchering Art is a formidable achievement - a rousing take told with brio, featuring a real-life hero worthy of the ages and jolts of Victorian horror to rival the most lurid moments of Wilkie Collins -- John J. Ross ― Wall Street Journal
Brilliant ... Thanks to Lister's dogged pursuit of knowledge and fervent attention to the needs of surgical patients, death rates plummeted. Fitzharris tells this story with an equal attention to detail -- Joanna Bourke ― Telegraph
Scintillating and shocking ... A book full of gangrene, pus and hideous pain, which will make you thankful never to suffer the horror of having a tumour removed from your jaw with no pain relief -- Bee Wilson ― Sunday Times
Hugely entertaining and informative ... Fitzharris brings [Joseph Lister's] sensibility to life with great energy and elegance, and her account is vivid and entertaining, as well as enjoyably (and sometimes eye-wateringly) graphic. The result is rich with anecdote and intellectual excitement, replete with emotional resonance and narrative pleasure -- Matthew Adams ― National
An illuminating and grisly look at the work of hacksaw-wielding surgeons of the 19th century -- Sian Cain ― Guardian
Well researched and written with verve... A fine read full of vivid detail, prompting thoughtful reflection on the past, and the challenging future, of surgical practice -- Tilli Tansey ― Nature
Bloody, visceral, and fascinating ― Entertainment Weekly
A lively read, constantly entertaining ... Fitzharris is an unapologetic showman. I imagine her as a ringmaster, inviting us to roll up and read if we dare ― The National
A brilliant and gripping account of the almost unimaginable horrors of surgery and post-operative infection before Lister transformed it all with his invention of antisepsis. It is the story of one of the truly great men of medicine and of the triumph of humane scientific method and dogged persistence over dogmatic ignorance -- Henry Marsh ― author of Do No Harm and Admissions
Engaging and extensively researched ... A riveting and sympathetic description of one man's quest to help humanity -- Patricia Fara ― Literary Review
Electric. The drama of Lister's mission to shape modern medicine is as exciting as any novel -- Dan Snow ― author of Battlefield Britain
Book of the Week ― The Week
In The Butchering Art, Lindsey Fitzharris becomes our Dante, leading us through the macabre hell of nineteenth-century surgery to tell the story of Joseph Lister, the man who solved one of medicine's most daunting - and lethal - puzzles. With gusto, Dr. Fitzharris takes us into the operating 'theaters' of yore, as Lister awakens to the true nature of the killer that turned so many surgeries into little more than slow-moving executions. Warning: She spares no detail! -- Erik Larson ― bestselling author of Dead Wake and The Devil in the White City
With an eye for historical detail and an ear for vivid prose, Lindsey Fitzharris tells a spectacular story about one of the most important moments in the history of medicine-the rise of sterile surgery. The Butchering Art is a spectacular book-deliciously gruesome and utterly gripping. You will race through it, wincing as you go, but never wanting to stop ― Ed Yong, author of I Contain Multitudes
An absolutely fascinating and grisly read that vividly brings to life the world of the Victorian operating theatre -- Catharine Arnold ― author of Bedlam and Necropolis
Fitzharris slices into medical history with this excellent biography of Joseph Lister, the 19th-century "hero of surgery." ... She infuses her thoughtful and finely crafted examination of this revolution with the same sense of wonder and compassion Lister himself brought to his patients, colleagues, and students ― Publishers Weekly (Starred Review)
The Butchering Art is medical history at its most visceral and vivid. It will make you forever grateful to Joseph Lister, the man who saved us from the horror of pre-antiseptic surgery, and to Lindsey Fitzharris, who brings to life the harrowing and deadly sights, smells, and sounds of a nineteenth-century hospital -- Caitlin Doughty ― bestselling author of Smoke Gets in Your Eyes and From Here to Eternity
Fascinating and shocking ... [Fitzharris] offers an important reminder that, while many regard science as the key to progress, it can only help in so far as people are willing to open their minds to embrace change ― Kirkus (Starred Review)
From the Back Cover
Victorian operating theatres were known as 'gateways of death', Fitzharris reminds us, since half of those who underwent surgery didn't survive the experience. This was an era when a broken leg could lead to amputation, when surgeons often lacked university degrees, and were still known to ransack cemeteries to find cadavers. While the discovery of anaesthesia somewhat lessened the misery for patients, ironically it led to more deaths, as surgeons took greater risks. In squalid, overcrowded hospitals, doctors remained baffled by the persistent infections that kept mortality rates stubbornly high.
At a time when surgery couldn't have been more dangerous, an unlikely figure stepped forward: Joseph Lister, a young, melancholy Quaker surgeon. By making the audacious claim that germs were the source of all infection - and could be treated with antiseptics - he changed the history of medicine forever.
With a novelist's eye for detail, Fitzharris brilliantly conjures up the grisly world of Victorian surgery, revealing how one of Britain's greatest medical minds finally brought centuries of savagery, sawing and gangrene to an end.
About the Author
Product details
- Publisher : Allen Lane; 1st edition (17 Oct. 2017)
- Language : English
- Hardcover : 304 pages
- ISBN-10 : 0241262496
- ISBN-13 : 978-0241262498
- Dimensions : 16.2 x 2.9 x 24 cm
- Best Sellers Rank: 241,257 in Books (See Top 100 in Books)
- 150 in Surgery (Books)
- 379 in Family & Lifestyle Surgery
- 792 in History of Science (Books)
- Customer reviews:
About the author

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Learn more how customers reviews work on AmazonCustomers say
Customers find the book engaging and informative. They praise the well-researched, clear information and narrative style. The book provides a human story of Joseph Lister and his work in an engaging way. Readers appreciate the vivid visual style and portrayal of the medical profession's changes.
AI-generated from the text of customer reviews
Customers find the book engaging and informative. They describe it as an interesting read that provides a glimpse into Victorian life and surgery. Readers appreciate the balance of Lister's home and work life, and the flow of the story.
"Great writing, fantastic subject! Page turner for sure by an incredible author! Highly recommend this book if you live history!" Read more
"Essential reading for anyone interested in science, medicine or history in general. Superbly researched...." Read more
"I really enjoyed this book, and don't recall having come across anything similar to it in the past...." Read more
"...What a pity there are no illustrations, nevertheless it makes a gripping read." Read more
Customers find the book informative and well-written. They say it's thought-provoking and provides clear, detailed information. The book is useful for anyone with a general interest in medicine and surgery.
"Great writing, fantastic subject! Page turner for sure by an incredible author! Highly recommend this book if you live history!" Read more
"...Superbly researched. A revealing, engrossing and often witty account of one of the 19th century's greatest pioneers...." Read more
"...Not incredibly difficult to read, but still offers up clear and detailed information and history." Read more
"...Lindsey Fitzharris has written a thoroughly researched and highly readable account of how Lister changed the world...." Read more
Customers find the book well-written and easy to read. They appreciate the engaging writing style and clear explanations. The book is described as an enjoyable, easy read that could serve as a basis for further research.
"Great writing, fantastic subject! Page turner for sure by an incredible author! Highly recommend this book if you live history!" Read more
"...Fitzharris writes with pace and clarity, and the rare ability to put the reader at the scene. Very highly recommended...." Read more
"...Not incredibly difficult to read, but still offers up clear and detailed information and history." Read more
"...Lindsey Fitzharris has written a thoroughly researched and highly readable account of how Lister changed the world...." Read more
Customers find the book's narrative engaging. They appreciate the human story of a man who never gave up believing in his work. The book contextualizes Joseph Lister's work and provides an insightful look into his character, challenges, and achievements. Readers appreciate the multi-focal narrative that brings together history, politics, and a fascinating insight into his character and achievements.
"...This alongside a professional biography of Joseph Lister, who revolutionized the field of western medicine...." Read more
"...Joseph Lister was a toweringly important figure in the transformation of medical treatment from, quite literally, the butchering of the unfortunate..." Read more
"...tales of hospital experience, Lindsey managed to create an engaging multi-focal narrative which was both gripping and extremely informative...." Read more
"...Lindsey Fitzharris recounts the fascinating story of Joseph Lister, and his quest to improve the chances of patients undergoing surgery in 19th..." Read more
Customers find the book engaging and absorbing. They appreciate the author's skill in describing the times and providing a glimpse into the lives of an exceptional man.
"...Superbly researched. A revealing, engrossing and often witty account of one of the 19th century's greatest pioneers...." Read more
"...managed to create an engaging multi-focal narrative which was both gripping and extremely informative...." Read more
"...of quirky facts, wry observations and gruesome details, this is a gripping book...." Read more
"An outstanding book! Easy to read, engaging and so interesting...." Read more
Customers find the book visually appealing and engaging. They appreciate the author's vivid depiction of medical changes and the appropriate tone.
"Her style is fresh and lively, almost journalistic in places, and she has a real gift for bringing alive the more gruesome scenes of her story...." Read more
"I thoroughly enjoyed The Butchering Art by Lindsey Fitzharris...." Read more
"...The author paints a vivid picture of the horror of life (and death!)..." Read more
"...The Butchering Art takes you on a journey that's both informative and riveting, while making you damned glad you live in 2017 with access to the NHS...." Read more
Customers enjoy the book's detailed and graphic descriptions of various accidents, crimes, and medical conditions. They find the story engaging, with a strong narrative voice. Readers appreciate the scientific revelations and shocking anecdotes. Overall, they describe the book as fascinating and well-researched.
"...Superbly researched. A revealing, engrossing and often witty account of one of the 19th century's greatest pioneers...." Read more
"...There are graphic descriptions of diverse accidents, crimes against, and medical conditions of actual patients in Victorian Britain; as well as the..." Read more
"...to life the horrific early history of surgery in fascinating and gory detail...." Read more
"...Full of quirky facts, wry observations and gruesome details, this is a gripping book...." Read more
Reviews with images
Fascinating read about Joseph Lister, medical pioneer
Top reviews from United Kingdom
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- Reviewed in the United Kingdom on 29 December 2024Great writing, fantastic subject! Page turner for sure by an incredible author! Highly recommend this book if you live history!
- Reviewed in the United Kingdom on 13 September 2024Essential reading for anyone interested in science, medicine or history in general. Superbly researched. A revealing, engrossing and often witty account of one of the 19th century's greatest pioneers. Fitzharris writes with pace and clarity, and the rare ability to put the reader at the scene. Very highly recommended. Will be buying her other books soon.
- Reviewed in the United Kingdom on 7 November 2017I really enjoyed this book, and don't recall having come across anything similar to it in the past.
There are graphic descriptions of diverse accidents, crimes against, and medical conditions of actual patients in Victorian Britain; as well as the treatment they received and their subsequent fate. This alongside a professional biography of Joseph Lister, who revolutionized the field of western medicine. A very interesting subject matter and execution in general. Not incredibly difficult to read, but still offers up clear and detailed information and history.
- Reviewed in the United Kingdom on 21 October 2017In the first decade of the last century my grandmother, then a young medical student in London, heard Lord Lister lecture about the benefits of antisepsis in medical practice. Seventy years earlier her grandfather had been the first doctor to successfully treat a young agricultural worker with a compound fractured femur by setting the leg in traction in a trough filled with plaster of Paris. The young man made a full recovery, but he was lucky. If he had been admitted to hospital his chances of survival would have been very poor.
Lindsey Fitzharris’s new biography of Joseph Lister makes it all too clear how a failure to understand the causes of infection, combined with (to us) utterly horrifying disregard of even basic hygiene, led to death from sepsis, gangrene and other infections that we would now recognise arose from bacterial infection. And not only patients died, doctors who handled infected patients or who cut themselves during surgery (which had to be performed at lightning speed before anaesthetics became available) also died of infection. Ironically the advent of anaesthesia actually increased mortality because more operations could be performed.
Lister’s Quaker background and his father’s improvements to the microscope combined with Lister’s own talents as a surgeon resulted eventually in success after many years of struggling to improve patient survival rates and eliminate deaths from infection. But Lister had not only to develop methods of keeping wounds clean and free from infection, and a theory of why the techniques worked, he had also to fight a medical profession whose models of the causes of disease rejected any notion that ‘germs’ might have a part to play.
By the time my grandmother heard Lister lecture he was a grand old man of the profession, but that position was hard won. Without his persistence and meticulous scientific approach modern surgery would be impossible, deaths from even minor injuries common and childbirth frequently fatal. In a world threatened with the loss of antibiotics we do well to remember how critical his discoveries were. Lindsey Fitzharris has written a thoroughly researched and highly readable account of how Lister changed the world. What a pity there are no illustrations, nevertheless it makes a gripping read.
- Reviewed in the United Kingdom on 27 October 2017What an absolutely absorbing and informative account of Victorian surgery this is.
Joseph Lister was a toweringly important figure in the transformation of medical treatment from, quite literally, the butchering of the unfortunate public into something more closely resembling modern medicine, and richly deserves this comprehensively researched and well written account of his life and times.
Coming to this book soon after watching the BBC sitcom Quacks, I was actually taken aback at the parallels between comedic fiction and real life.
Building on Pasteur's insights, Lister struggled to convince the medical establishment of the truth of germ theory - without which his antiseptic surgical techniques would have been pretty meaningless. But he proselytised his theories and demonstrated his techniques endlessly down the years, until eventually a new generation of surgeons schooled in his approach became the new establishment.
Lindsey Fitzharris tells an often gory story with verve and enthusiasm. I read this book through in a single day, and enjoyed every minute of it.
- Reviewed in the United Kingdom on 22 May 2024Interesting and fascinating read.
- Reviewed in the United Kingdom on 12 January 2022Incredibly well written and researched book which takes, the reader/listener on a visceral journey through the darkness of victorian hospital life. Not for those of a tender disposition...
- Reviewed in the United Kingdom on 10 August 2019This book was crucial for developing my understanding of 19th century surgery beyond the traditional narrative. By interweaving the bigger overview picture of surgery at the time with both Lister's individual story and individual tales of hospital experience, Lindsey managed to create an engaging multi-focal narrative which was both gripping and extremely informative. I feel as though my understanding of the context of Lister's surgical developments has been enhanced, and has shown the opposition to many developments in startling detail. I highly recommend this book to any fan of medical history, or anyone teaching the Health and the People course at GCSE - I can confirm I will be using this book to enhance my teaching, starting this November.
Top reviews from other countries
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Barbara CorreaReviewed in Brazil on 7 February 20225.0 out of 5 stars Perfeito
Adorei! Narra a história de um médico na era vitoriana. Desde o início de seu aprendizado até o fim de sua vida descrevendo em detalhes os avanços tecnológicos da época.
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DodoReviewed in France on 25 June 20235.0 out of 5 stars Très bien illustré
Je suis satisfaite
StReviewed in Germany on 1 March 20235.0 out of 5 stars DEAL WITH IT!
Being interested in the subject but a little bit squeemish, I kept a hand over my eyes the whole time so I cannot say anything towards if it is really as good as I propose but I believe so.
DeniseReviewed in Spain on 10 August 20225.0 out of 5 stars The coolest book you will ever read!
Once I watched a video of Sting, Eric Clapton, Mark Knopfler, and Phil Collins, playing “Money for Nothing”, and I remember thinking that it was the most awesome video of all times – real legends together playing an amazing song… I could only wish I was there.
Reading this book I had the same sensation: some of the greatest names we all have studied with regards to Biology (and Medicine, I suppose), all coexisting in the 19th century while trying to find answers for many now very obvious questions of medicine – anesthesia, infection, contamination, etc.
I am no doctor, nor I work on the medical area, but this book has taught me so many interesting things about how some of the greatest discoveries were made in the field. All is written with Joseph Lister’s life as the connecting thread.
It is a general knowledge book, and I think knowledge is never enough!
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bernardomcsReviewed in Mexico on 30 September 20205.0 out of 5 stars Excelente Libro
Excelente libro!! La narrativa de la autora nos transporta vívidamente a una época trascendental con grandes cambios que influyeron muchísimo en la práctica quirúrgica de esta época... compré uno para mi y otro para regalarlo a mis alumnos de Cirugia









