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Review

Data Before Models: Building a Surgical Data Layer

Subhas Gupta, MD, CM, PhD, FRCSC, FACS

Department of Plastic Surgery, Loma Linda University; The Plastic Surgery AI Group

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Abstract

Every AI system in surgery, from imaging models to workflow agents, depends on structured, high-quality data. Yet most surgical environments operate with scattered photographs, fragmented electronic records, and free-text notes. This article defines how to build a Surgical Data Layer: a unified, auditable foundation that allows models to learn safely, perform accurately, and improve continuously.

Keywords

surgical data layer, data governance, de-identification, machine learning, data quality

How to cite: Subhas Gupta, MD, CM, PhD, FRCSC, FACS. Data Before Models: Building a Surgical Data Layer. Journal of Surgical Intelligence, Volume 1, Issue 1, November 2025. https://doi.org/10.67748/SINT8163