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The First World War was a war dominated by high explosives and heavy artillery. Battlefield casualties included an unprecedented number with horrific facial injuries - injuries so severe the men were commonly unrecognizable to loved ones and friends. Often unable to see, hear, speak eat or drink, they struggled to re-assimilate back into civilian life. This secondary tragedy - the living unable to "live" - catalyzed Surgeon Sir Harold Gillies to transform the fledgling discipline of plastic surgery based on his unrivalled observation of the profoundly wounded and his ability to push the parameters of the profession beyond all known techniques.