Surgeons must recognize that corporatization is compromising team cohesion and clinical performance.

• For-profit ownership accounts for 23.7% of U.S. healthcare market share in 2023, affecting surgical autonomy.
• Pressure for productivity is linked to increased burnout, higher error rates, and lower patient satisfaction.

Supporting structures that empower surgeons and maintain accountability could enhance outcomes and team performance.

• The “teams of teams” governance model fosters shared decision-making and trust, aligning financial goals with surgical excellence.