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The Conversation
Fay Bound-Alberti, Professor in Modern History and UKRI Future Leaders Fellow, King's College London

A stranger’s face? The unresolved questions of face transplantation 20 years on

When he saw the newspaper headlines in 2002, James Partridge was furious. Severely burned in a fire at 18, he spent his life advocating for people with “visible difference” through charities like Changing Faces and Face Equality International. Yet he found himself used as tabloid fodder in discussions about face transplants: how much better might James look with one?

The question emerged during a wave of publicity surrounding the UK’s bid to undertake the world’s first face transplant. Plastic surgeon Peter Butler and his team at the Royal Free Hospital in north London argued they were ready, claiming that nothing could match a face transplant for restoring appearance and function after severe injury.

The debate had been building for decades. The first successful kidney transplant in 1954 showed that replacing organs was possible. Since then, surgeons have transplanted hearts, lungs and most recently, hands. Some surgeons saw a natural progression: “a face is just like a hand”, they argued. But not everyone agreed.

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