Make Anaesthetic Useful

[Spy_Guy]

Perhaps make it so that people undergoing surgery without anesthetic scream in pain during the operation, with a chance to pass out from the pain or risk shock. Passing out from pain could cause its own set of problems.

This already happens. People undergoing limb removal without (and with, amusingly enough) scream in pain and will eventually pass out when they reach crit and suffer shock from blood loss.
Of course, since pain RP is not enforced (thank fuck) the first bit rarely bothers the patient, with rare cases going "Ouch! That really fucking hurts!" then happily take part in the rest of the procedure.

The second bit is the reason I made this thread in the first place: the patients don't give a damn about shock or entering crit, as long as they know they'll get patched up, regardless of how much meds gets burned through to do it.

I'm not particularly interested in creating further reasons not to anaesthetize but rather make it a far more viable choice to do so. If you wanted to make surgery without anaesthetic unappealing to a player then you would have to add lasting pain effects, such as twitchiness, stammering and perhaps even occasionally blacking out as a result of all the stress and adrenaline produced during the procedure (it could even mimic an epinephrine overdose), on top of something like brute damage with is healed with liberal amounts of styptic and a hearty pat on the back.

That being said, I'm a "glass half full" type of person, and would rather suggest buffs to one thing that should logically be better than another thing as opposed to suggesting nerfs that would make the other thing worse than it already is.