Earlier quoted context omitted.
Lets just be clear... He recommended BRAIN SURGERY rather than a simple "hack" spoon.
Well, so would I. The spoon doesn't cure the symptoms.
I don't know the exact numbers, but I definitely feel like brain surgery carries a much higher risk with it than a new spoon. Some people might prefer not to take that risk, especially in cases of elderly people who may not be strong enough to survive surgery.