New Issue: Science’s Impossible Questions. Read Now

Primate Conflicts Play Out in the Operating Room

By analyzing 200 surgeries, anthropologists found mixed-gender operating room teams exhibited the highest levels of cooperation. Christopher Intagliata reports.

Illustration of a Bohr atom model spinning around the words Science Quickly with various science and medicine related icons around the text

Join Our Community of Science Lovers!

When primatologists observe chimpanzees, they take note of activities like fighting, playing, touching, and grooming. And it turns out you can learn a lot about humans—we are primates, after all—by observing the same behaviors in us. 

"Not grooming, but you know, who was nice to who, who complimented who, who talked to who, who flirted with who, all those kinds of things." Laura Jones, an anthropologist at Emory University and Kaiser Permanente. 

The primates her team studied were surgeons, nurses, anesthesiologists and other staff at three U.S. hospitals. The researchers observed 200 surgeries, while logging behaviors like cursing and cowering, stomping or head shaking, joking and singing, complimenting or flirting.


On supporting science journalism

If you're enjoying this article, consider supporting our award-winning journalism by subscribing. By purchasing a subscription you are helping to ensure the future of impactful stories about the discoveries and ideas shaping our world today.


And they found that conflict in the OR surged when male surgeons' teams were mostly male; or when female surgeons were with mostly female teams. "It would be a no-brainer if we found that all females were cooperative, but that's not what we found."

Instead, the highest levels of cooperation occurred when a female surgeon had a male surgical team, and vice versa—perhaps, Jones says, because those mixed teams avoided male–male or female–female conflict.

In fact previous studies in primates--both human and non-human--have shown that competition is strongest between individuals of the same gender. The surgery findings are in the Proceedings of the National Academy of Sciences. [Laura K. Jones et al., Ethological observations of social behavior in the operating room]

"I would say the most practical thing to do at this point would be using this to affect training. And of course encourage people, both men and women, to go into all the disciplines, because right now they're heavily gendered." Perhaps by diversifying the operating room we can leave chest-beating behaviors at the door. 

—Christopher Intagliata

[The above text is a transcript of this podcast.]

Subscribe to Support Independent Journalism

Great science journalism requires human expertise, time, effort and creativity. And it costs money. That’s why I and the journalists here at Scientific American hope you’ll join our community.

When you subscribe, you are supporting staff and freelance journalists who are passionate about telling science stories that are true, important and compelling. Our editors and reporters are often experts in their fields, which means they understand the nuances of big discoveries and can untangle the breakthroughs from the hype. With a subscription, you are also supporting rigorous fact-checking to ensure the words we publish are precise and accurate. And you’re supporting original illustrations, graphics and photos that bring you closer to an advanced laboratory, an ice sheet in Antarctica or a space mission in orbit. You’re helping us craft other types of high-quality journalism as well: Our newsletters are carefully written, edited and curated by staffers you have or will come to know and love. Our Science Quickly podcast is based on original reporting, collaboration with editors and scientists and exacting production.

Subscriptions keep this engine running so we can continue to deliver thoughtful, rigorous and independent science journalism to you. In an era of viral misinformation, this work is crucial. If you value what we do, I hope you’ll consider joining us as a subscriber

Thank you,

Jeanna Bryner, Editor in Chief, Scientific American

Subscribe