It i possible to have brain surgery outside of a hospital, but it is extremely dangerou. Hospitals take every precaution, such a sanitation and pre-prepping the tools to ensure that what is needed i present way in advance.
If you were to have a fictional brain surgeon outside of a hospital, I think it would be one that had lost their medical license for some reason, maybe due to malicious practice or just overall eccentricity. He would have to be cautiou to ensure a proper surgery (prepping tools, sanitation), but also very skilled in order to ensure that your character survives, since your surgeon will most likely not have as many assistant a a normal surgeon.
Perhap a mad-scientist type surgeon i more what your looking for? A doctor who was once the head of his class, but was broken by some traumatic event to be absolutely bonkers, while still retaining some aspect of his intellectual past.
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