Generative AI chatbots provide valuable information accessible anywhere with internet access, offering a cost-effective alternative to aid clinicians in their decision-making processes. ChatGPT can foster clinical decision support systems encompassing knowledge-based support, diagnostics, and therapy planning [3]. This capability empowers healthcare providers to develop improved clinical guidelines, receive alerts for adverse drug interactions, and benefit from suggestions for diagnosis and therapy planning. These advancements make surgical knowledge accessible without reliance on costly textbooks and journals or piracy. Indeed, the prevalence of illegal article downloads (6 million/month) highlights the limitations of the current publishing system, preventing doctors to improve their quality of care [4]. Making medical knowledge easily and freely accessible is a morally and ethically sound decision, given that it is largely funded by public resources [5].

Although current AI models may not be entirely reliable to make clinical decisions without human supervision, our gold-standard human decisions are hardly very reliable: 51% of scientific results are inaccurately interpreted by their own authors due to methodological limitations such as subjective assessment tools and inappropriate use of analytical tests [6]. AI has the potential to improve such inaccuracies, and contribute to more evidence-based decisions and guidelines.

For patients in Low- and Middle-Income Countries (LMICs), AI chatbots can offer personalized educational resources in settings where such materials may be scarce or challenging to obtain. The ability to generate on-the-fly content in 18 languages, covering 60% of the global population, is particularly beneficial during the postoperative period, when follow-up surgical visits may be logistically and/or economically challenging. While AI chatbots like ChatGPT do not replace standard perioperative surgical education, they offer a more reliable alternative of addressing patient queries than currently used platforms like Google [7].