No working organ should be removed (e.g., a thyroid with nodules that still functions); one should stay away from the scalpel, and Elawady is 'against any operation, including caesarean section'.
Original statement
دكتور ايه رايك في عمليات تكميم المعده انا ضد اي عمليه بما فيهم القيصريه سهله سهله انا انا ضد اي مشرط يضرب في جسم حضرتك
verbatim according to source. Translation by the project; the Arabic wording is authoritative.
Translation
No working organ should be removed (e.g., a thyroid with nodules that still functions); one should stay away from the scalpel, and Elawady is 'against any operation, including caesarean section'.
Origin
- Source status
- Video transcript (own words)
- Attribution
- Elawady (machine transcript)
- Video
- Dr.D Clinics - Diaa Al Awady is live! (Open source)
- Published
- 25 February 2025
- Timestamp
- 0:35:16 (location in the original video’s automatic YouTube caption track; confirms where the words occur, not who speaks)
- Attribution uncertainty
- Archive transcript (YouTube CC or AI-generated); wording may contain transcription errors; no timestamps available.
- Claimed mechanism
Body organs all have function; removal disturbs the body.
- Claimed health effect
Harm from any surgery.
- Population concerned
Everyone
- Geographic restriction by Elawady
none found
Diverging source versions
- Source status
- Video transcript (own words)
- Attribution
- Elawady (machine transcript)
- Video
- Dr.D Clinics - Diaa Al Awady is live! الدورة المعوية مسار تحول (Open source)
- Published
- 16 April 2025
- Timestamp
- not available (transcript has no timings)
- Attribution uncertainty
- Archive transcript (YouTube CC or AI-generated); wording may contain transcription errors; no timestamps available.
- Source status
- Video transcript (own words)
- Attribution
- Elawady (machine transcript)
- Video
- Dr.D Clinics - Diaa Al Awady is live! نوبة النهجان و ضيق النفس (Open source)
- Published
- 19 January 2025
- Timestamp
- not available (transcript has no timings)
- Attribution uncertainty
- Archive transcript (YouTube CC or AI-generated); wording may contain transcription errors; no timestamps available.
Scientific assessment
Mostly false – Essential parts of the statement are not supported by the evidence or are strongly exaggerated.
Certainty of evidence: moderate – Further research may still affect the assessment.
1. What was claimed?
Never remove a functioning organ; against any operation including caesarean.
2. What is demonstrably correct?
Partly aligned with evidence: overdiagnosis and overtreatment of thyroid cancer are real (A-ORG-19, I-ORG-02, I-ORG-03); watchful waiting is guideline-recommended for many sore-throat cases (I-ORG-06); antibiotics can replace appendectomy in some uncomplicated appendicitis (I-ORG-07); the archive itself states that indicated operations should be done 'without hesitation'.
3. What is wrong or exaggerated?
As a blanket rule it is not supported: surgery shows clear benefit in indicated situations (A-ORG-03, I-ORG-05, I-BAR-01). Caesarean section is not assessed in this review, but rejecting it in all cases is incompatible with obstetric emergencies (general medical consensus; no study extracted here).
4. What remains unclear?
n/a
5. Which studies support it?
A-ORG-19, I-ORG-02, I-ORG-03, I-ORG-06.
6. Which studies contradict it?
7. What applies to Germany and Europe?
Most cited cohorts are Scandinavian (Denmark, Sweden) and directly European; RCTs from the UK and Finland are directly transferable. Guidelines in Europe also emphasize defined indications (not verified here in detail).
8. What is known about Egypt?
No Egypt-specific data on rates or outcomes of tonsillectomy, cholecystectomy, hysterectomy, splenectomy or thyroid surgery were identified in this review.
9. What practical conclusion is appropriate?
Ask whether an operation is indicated and what alternatives exist; do not refuse indicated surgery on principle.
Assessment details
- Rationale for certainty of evidence
Blanket rejection conflicts with RCT evidence of benefit for indicated surgery; partial alignment with evidence on overtreatment of small thyroid cancers and watchful waiting.
- Source quality
Transcript statements.
- Regional transferability
Universal.
- Individual exceptions
Low-risk thyroid nodules and small papillary cancers can often be monitored (USPSTF notes similar outcomes for treated vs monitored common tumour types).
- Regional scope of the claim
- general (biological/medical)
- Last reviewed
- 25 October 2026 provisional
In plain language
Elawady said he is against any operation, including caesarean section, and that no working organ should be removed, for example a thyroid with nodules. Some caution is justified: many small thyroid cancers and nodules are found by chance and may not need surgery. But as a general rule this is not supported: in many situations, operations clearly help or save lives. Even the archive itself says that operations that are really needed should be done without hesitation.
Studies on this claim
Studies supporting the claim (4)
-
US thyroid cancer: more diagnoses, same deaths
Davies L et al.. JAMA Otolaryngol Head Neck Surg 2014 · PMID 24557566 · DOI 10.1001/jamaoto.2014.1Ecological studycited by the Tayebat archiveabstract only checked★ key studyDiagnoses nearly tripled from 1975 to 2009 while deaths stayed at about 0.5 per 100,000.
Does the study support the specific claim? Yes · Methodological quality: high · Certainty of evidence: see overall assessment of the claim
Original publication · Scientific details
Study explained simply
- What did the researchers want to find out?
Overdiagnosis
- How was the study done?
Trend analysis
- How many people, animals or samples were studied?
SEER 9
- What was actually found?
Incidence up, mortality flat
- How large was the observed effect?
RR 2.9
- What do the results mean in everyday life?
Many small cancers found would never have caused harm
- What are the study's limitations?
Ecological
- What does it say about Elawady's specific claim?
Supports
- Do the results apply to Germany and Europe?
Similar in Europe (not verified here)
- What can explicitly not be concluded from this study?
Which individual tumours are harmless
-
Korea: thyroid screening and cancer diagnoses
Ahn HS et al.. Thyroid 2016 · PMID 27627550 · DOI 10.1089/thy.2016.0075Ecological studyindependent cross-checkabstract only checked★ key studyRegions that screened more found far more small papillary cancers, without any effect on thyroid cancer deaths.
Does the study support the specific claim? Yes · Methodological quality: moderate · Certainty of evidence: see overall assessment of the claim
Original publication · Scientific details
Study explained simply
- What did the researchers want to find out?
Screening effect
- How was the study done?
Ecological
- How many people, animals or samples were studied?
16 regions
- What was actually found?
Screening drives incidence
- How large was the observed effect?
r=0.77
- What do the results mean in everyday life?
Screening healthy people finds harmless cancers
- What are the study's limitations?
Ecological
- What does it say about Elawady's specific claim?
Supports overdiagnosis claim
- Do the results apply to Germany and Europe?
Less screening in Europe
- What can explicitly not be concluded from this study?
Individual harm
-
US task force: do not screen healthy adults for thyroid cancer
US Preventive Services Task Force. JAMA 2017 · PMID 28492905 · DOI 10.1001/jama.2017.4011Guideline / position statementindependent cross-checkabstract only checkedScreening does more harm than good because it finds many harmless cancers.
Does the study support the specific claim? Yes · Methodological quality: high · Certainty of evidence: see overall assessment of the claim
Original publication · Scientific details
Study explained simply
- What did the researchers want to find out?
Screening policy
- How was the study done?
Guideline
- How many people, animals or samples were studied?
n/a
- What was actually found?
Net harm
- How large was the observed effect?
D recommendation
- What do the results mean in everyday life?
Avoid screening without symptoms
- What are the study's limitations?
Indirect evidence
- What does it say about Elawady's specific claim?
Supports overdiagnosis claim
- Do the results apply to Germany and Europe?
Applicable
- What can explicitly not be concluded from this study?
Management of symptomatic nodules
-
US guideline on tonsil surgery in children
Mitchell RB et al.. Otolaryngol Head Neck Surg 2019 · PMID 30798778 · DOI 10.1177/0194599818801757Guideline / position statementindependent cross-checkabstract only checkedWatchful waiting is recommended unless infections are very frequent; surgery is recommended for documented sleep apnea.
Does the study support the specific claim? Partly · Methodological quality: high · Certainty of evidence: see overall assessment of the claim
Original publication · Scientific details
Study explained simply
- What did the researchers want to find out?
Indications
- How was the study done?
Guideline
- How many people, animals or samples were studied?
n/a
- What was actually found?
Clear thresholds
- How large was the observed effect?
n/a
- What do the results mean in everyday life?
Not every child needs surgery; some clearly do
- What are the study's limitations?
US
- What does it say about Elawady's specific claim?
Partly aligns
- Do the results apply to Germany and Europe?
Similar principles
- What can explicitly not be concluded from this study?
Individual decisions
No study in this group is marked as key.
Studies contradicting or limiting the claim (3)
-
Trial: tonsil/adenoid surgery for children with sleep apnea
Marcus CL et al.. N Engl J Med 2013 · PMID 23692173 · DOI 10.1056/NEJMoa1215881Randomised controlled trialcited by the Tayebat archivefull text checkedSurgery normalized sleep studies in 79% vs 46% with waiting and improved behaviour and quality of life.
Does the study support the specific claim? No · Methodological quality: high · Certainty of evidence: see overall assessment of the claim
Original publication · Scientific details
Study explained simply
- What did the researchers want to find out?
OSA treatment
- How was the study done?
RCT
- How many people, animals or samples were studied?
464
- What was actually found?
Symptom, QoL and sleep-study benefit; no cognitive benefit; 46% normalized with waiting
- How large was the observed effect?
79% vs 46%
- What do the results mean in everyday life?
Surgery helps children with sleep apnea
- What are the study's limitations?
7 months
- What does it say about Elawady's specific claim?
Contradicts blanket rejection of surgery, but supports watchful waiting as a valid option for many children
- Do the results apply to Germany and Europe?
Applicable
- What can explicitly not be concluded from this study?
Long-term cognition
-
UK trial: tonsil removal in adults with repeated tonsillitis
Wilson JA et al.. Lancet 2023 · PMID 37209706 · DOI 10.1016/S0140-6736(23)00519-6Randomised controlled trialindependent cross-checkfull text checked★ key studySurgery roughly halved sore-throat days over 2 years, but 19% had bleeding complications.
Does the study support the specific claim? No · Methodological quality: high · Certainty of evidence: see overall assessment of the claim
Original publication · Scientific details
Study explained simply
- What did the researchers want to find out?
Adult tonsillitis
- How was the study done?
RCT
- How many people, animals or samples were studied?
453
- What was actually found?
Fewer sore-throat days
- How large was the observed effect?
IRR 0.53
- What do the results mean in everyday life?
For frequent tonsillitis, surgery helps despite risks
- What are the study's limitations?
Open label; self-reported outcome; many switched groups; missing weekly data
- What does it say about Elawady's specific claim?
Contradicts 'should not be removed'
- Do the results apply to Germany and Europe?
European
- What can explicitly not be concluded from this study?
Very long-term risks
-
Antibiotics instead of surgery for appendicitis
CODA Collaborative; Flum DR et al.. N Engl J Med 2020 · PMID 33017106 · DOI 10.1056/NEJMoa2014320Randomised controlled trialindependent cross-checkabstract only checked★ key studyAntibiotics worked about as well for overall health at 30 days, but 29% still needed surgery within 90 days.
Does the study support the specific claim? Partly · Methodological quality: high · Certainty of evidence: see overall assessment of the claim
Original publication · Scientific details
Study explained simply
- What did the researchers want to find out?
Appendicitis treatment
- How was the study done?
RCT
- How many people, animals or samples were studied?
1552
- What was actually found?
Antibiotics noninferior; many later surgeries
- How large was the observed effect?
29% appendectomy by 90 d
- What do the results mean in everyday life?
Surgery is not the only option, but appendicitis must be treated
- What are the study's limitations?
Unblinded
- What does it say about Elawady's specific claim?
Partly supports 'not always remove'
- Do the results apply to Germany and Europe?
Applicable
- What can explicitly not be concluded from this study?
Diet-based treatment
No study in this group is marked as key.
Studies with mixed or unclear results (0)
No studies in this group.
Regional context
Germany / EU
Most cited cohorts are Scandinavian (Denmark, Sweden) and directly European; RCTs from the UK and Finland are directly transferable. Guidelines in Europe also emphasize defined indications (not verified here in detail).
Egypt
No Egypt-specific data on rates or outcomes of tonsillectomy, cholecystectomy, hysterectomy, splenectomy or thyroid surgery were identified in this review.
What applies in my country?
General scientific assessment
Mostly false Caution about unnecessary surgery is reasonable; rejecting all surgery is not.
This statement concerns biological or medical relationships. The scientific assessment above applies regardless of the country; country-specific food data do not change it.
References
- Current thyroid cancer trends in the United States.. Davies L et al.. JAMA Otolaryngol Head Neck Surg 2014 · PMID 24557566 · DOI 10.1001/jamaoto.2014.1
- Thyroid Cancer Screening in South Korea Increases Detection of Papillary Cancers with No Impact on Other Subtypes or Thyroid Cancer Mortality.. Ahn HS et al.. Thyroid 2016 · PMID 27627550 · DOI 10.1089/thy.2016.0075
- Screening for Thyroid Cancer: US Preventive Services Task Force Recommendation Statement.. US Preventive Services Task Force. JAMA 2017 · PMID 28492905 · DOI 10.1001/jama.2017.4011
- Clinical Practice Guideline: Tonsillectomy in Children (Update).. Mitchell RB et al.. Otolaryngol Head Neck Surg 2019 · PMID 30798778 · DOI 10.1177/0194599818801757
- A randomized trial of adenotonsillectomy for childhood sleep apnea.. Marcus CL et al.. N Engl J Med 2013 · PMID 23692173 · DOI 10.1056/NEJMoa1215881
- Conservative management versus tonsillectomy in adults with recurrent acute tonsillitis in the UK (NATTINA): a multicentre, open-label, randomised controlled trial.. Wilson JA et al.. Lancet 2023 · PMID 37209706 · DOI 10.1016/S0140-6736(23)00519-6
- A Randomized Trial Comparing Antibiotics with Appendectomy for Appendicitis.. CODA Collaborative; Flum DR et al.. N Engl J Med 2020 · PMID 33017106 · DOI 10.1056/NEJMoa2014320