This painting was commissioned in 1889, to honor anatomist and surgeon David Hayes Agnew, on his retirement from teaching at the University of Pennsylvania. His students put up the $750 (equivalent to $21,600 today) to pay for the depiction. Each student came to Eakins studio to be sketched for placement in the final painting. Eakins placed himself in the painting on the far right behind the nurse – although the actual painting of him is attributed to his wife, Susan Macdowell Eakins.

It depicts a mastectomy, which was a novel procedure. Despite the lack of expectation of cure, it was an attempt to lengthen the life of the patient. The portrayal of a procedure in which a partially nude woman is observed by a roomful of men (even though they were doctors) was controversial. It was denied a spot in 1891's Pennsylvania Academy of the Fine Arts and 1892's New York's Society of American Artists. One art critic warned that “delicate women or children suddenly confronted by the portrayal of these clinical horrors might receive a shock from which they would never recover.” Agnew asked not to have as much blood as seen in the Gross clinic (one cause for its rejection). His hands are covered in liquid, which would have been used for sterilization, rather than blood.

To see original: bit.ly/4c9bCJQ