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Archibald McIndoe, the Dunedin surgeon who rebuilt the burnt airmen of the RAF and taught a Sussex town not to stare

Archibald McIndoe operating at the Queen Victoria Plastic and Jaw Injury centre, East Grinstead, 1944

Richard Hillary – twenty-one years old, Oxford rower, Battle of Britain Spitfire pilot – was lying on a bed in the Royal Masonic Hospital at Hammersmith with both hands wrapped in tannic acid the colour of strong tea, his eyelids burnt off, his upper lip melted to his nose, when he first saw the man who would rebuild his face. The visitor was thickset, bespectacled, in his early forties, in a pinstripe suit that looked slept in. He stood at the end of the bed and looked Hillary over for a long time. Then, in the flat Dunedin vowels Hillary later set down in the most famous British war memoir of the 1940s, he said, “Well, you certainly made a thorough job of it, didn’t you?”

This is where the story of

Archibald McIndoe operating at the Queen Victoria Plastic and Jaw Injury centre, East Grinstead, 1944
Archibald McIndoe operating at the Queen Victoria Hospital’s Plastic and Jaw Injury centre, East Grinstead, 1944. Painting by the war artist Anna Zinkeisen, who spent several days observing in the theatre. Imperial War Museum, Art.IWM ART LD 6001.
Sir Archibald McIndoe usefully begins. Not in Dunedin in 1900, where he was born above his father’s printing works, and not at the Mayo Clinic in the Minnesota snow, where he made his name as a young abdominal surgeon. It begins on a hospital ward in southern England in the autumn of 1940, where a 39-year-old New Zealander was being asked to do something nobody in the world had ever done at scale before – rebuild the faces and hands of pilots who had been incinerated in cockpit fires fast enough to get out, and slowly enough to be mutilated. By the end of the war he had done it 649 times. Every one of those men became, by his own design, a member of a club that ran for more than sixty years. The Boss, as they called him, presided over its annual dinner until he died. The club was called the Guinea Pig Club, in honour of the fact that he was experimenting on them and they knew it, and they thought it was funny.

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The Guinea Pigs are nearly all gone now. The last two members, Sam Gallop and Jan Stangryciuk-Black, both 101, died within weeks of each other in October 2023. McIndoe outlived very few of them; he died of a heart attack in his sleep in a London flat on 11 April 1960, at the age of 59. The Guinea Pigs went on without him. They had spent the rest of their adult lives carrying his work around on their faces. They were, as the Chief Guinea Pig once put it, “McIndoe’s boys”. He had used the same phrase about them throughout the war.

This is the story of how a Dunedin printer’s son ended up doing that work, and what it left behind.

Ward III, East Grinstead

The Queen Victoria Hospital sits on the southern edge of East Grinstead, a Sussex market town an hour by train south of Victoria. In 1939 it was a small cottage hospital with new buildings going up. The Emergency Medical Service had designated four British hospitals as specialist plastic and jaw centres for the coming war; East Grinstead was one of them. On 4 September 1939, the day after Britain declared war on Germany, McIndoe arrived to take charge. The hospital had three new wards: Ward I for jaw injuries, Ward II for women and children, Ward III for officers and the most severely burnt.

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For the first nine months he had almost nothing to do. The phoney war produced no battlefield burns. The first wave of Battle of Britain casualties – from July 1940 onwards – rolled into Ward III in the bundled blankets of fast ambulance transfers. Spitfire and Hurricane pilots had a fuel tank between their knees and another in front of them, separated from their faces by a thin bulkhead. When the engine took a cannon round the cockpit became a flue. A pilot who could not bail out in the first ten seconds was charred where he sat. A pilot who got out fast still came out, often, with hands and face cooked through the leather gloves and goggles he had not had time to put on. On a hot summer day most pilots did not bother. They learned.

Hillary’s aircraft was hit on the afternoon of 3 September 1940. He had just shot down his fifth German, a Messerschmitt 109, when a second 109 he had not seen put a cannon round into his fuel tank. The cockpit erupted. The canopy was stuck because of the heat. He stayed in the burning aircraft for, by his own estimate, more than half a minute, then blacked out. He came back to consciousness in the air, unfastened, and pulled his ripcord. He landed in the North Sea off Margate without his gloves or his boots and was picked up by the lifeboat. By the time he reached the Royal Masonic Hospital in London he had no eyelids, his upper lip was destroyed, his nose was a stump, and his fingers were claws.

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Hillary’s description of the next eighteen months – the operations, the boredom, the daily grind of being remade in pieces – eventually became The Last Enemy, published in 1942 and never out of print since. He was, by general agreement, also the patient most difficult to like; vain, sharp-tongued, an aspiring novelist who had never quite been told no. McIndoe’s opening line at his bedside – well, you certainly made a thorough job of it – was the Boss’s standard greeting to a new arrival in Ward III. It was meant to tell the patient that the surgeon had seen worse, and that nothing about him was a special case. And it was meant to make the patient laugh.

It often did. McIndoe was a thickset, slightly stooped man with horn-rimmed glasses and the bedside manner of a butcher who liked you. He sat on the edge of the bed and told the patient what was going to happen next. He did not lie. If the patient asked whether he would have a face, McIndoe would tell him he would have one, that it would not be the face he had been born with, and that it would take a year. He told Hillary, the first time he examined him, “Four new eyelids, I’m afraid, but you’re not ready for them yet.” The eyelids took eight months. The hands took longer.

What was unusual about McIndoe at the bedside was that he did not treat his patients as a clinical problem in front of which a man called Hillary or Page or Gleave happened to be in the way. He treated the man and worked on the body that came with him. The men noticed. Geoffrey Page – shot down on 12 August 1940, his Hurricane fuel tank exploding in front of him – wrote forty years later, in his autobiography Tale of a Guinea Pig, the dedication that has become the standard McIndoe epitaph. The book is given over “to Archie McIndoe, whose surgeon’s fingers gave me back my pilot’s hands.” Page went back to a Hurricane after McIndoe finished with his hands and shot down fifteen more aircraft. He ended the war with a DSO, an OBE, and two Distinguished Flying Crosses. He was twenty-five.

A printer’s house in Forbury

Archibald Hector McIndoe was born on 4 May 1900 at Forbury, a southern Dunedin suburb, the second son of John McIndoe, a Scots-born printer who ran a successful Princes Street printing house, and

Studio portrait of Mabel Hill, the watercolourist who became Mabel McIndoe, 1898
Mabel Hill, photographed in Dunedin in 1898, the year of her marriage to John McIndoe. Two years later, she gave birth to Archibald, the second of her four children. She continued to paint and exhibit under her maiden name throughout her life. Photograph by F. L. Jones.
Mabel Hill, a watercolourist of some reputation. The household was bookish and slightly bohemian; three brothers, one sister, a high standard of conversation at the dinner table, no science whatever. Archie was sent to Otago Boys’ High School, which he attended without distinguishing himself, and then to the University of Otago, which had the only medical school in New Zealand. He graduated in 1923, having decided on the way through that he would be a surgeon. He had small, very steady hands.

The decisive accident of his early career was American. In 1924 he was offered the first New Zealand fellowship at the Mayo Clinic in Rochester, Minnesota. The fellowship came with a condition that no Mayo Fellow could be married. McIndoe was already engaged. He married his fiancΓ©e Adonia Aitkin of Dunedin in a quiet Otago ceremony on 31 July 1924, kept the marriage secret from the Mayo Clinic for the duration of the fellowship, and sailed for the United States. He was twenty-four. He worked at the Mayo until 1930, becoming the first First Assistant in Pathological Anatomy in the clinic’s history. He was, by 1930, a serious abdominal surgeon. He was not yet a plastic surgeon. Plastic surgery, in 1930, hardly existed as a specialty.

The man who would change that for him was a distant cousin he had never met. Sir Harold Gillies was eighteen years older than McIndoe, born in Dunedin in 1882. He had grown up in New Zealand, gone to Cambridge, and during the First World War had built – almost single-handedly – the new specialty of facial reconstruction at the Queen’s Hospital in Sidcup, treating the trench casualties of Verdun, the Somme, and Passchendaele. He was, by 1930, the most famous plastic surgeon in the British Empire, and absolutely happy to take a young New Zealander under his wing.

McIndoe came to London in 1930 on the advice of Lord Moynihan of Leeds, the British surgical king-maker, expecting a job as an abdominal surgeon at one of the great London teaching hospitals. There was no job. London was a closed shop in 1930 for an unknown New Zealander with an American training. McIndoe had a young wife in a rented Bayswater flat, a daughter on the way, and diminishing savings. He wrote to his cousin Harold Gillies, who invited him to lunch, told him plastic surgery was the coming field, and offered him an unpaid clinical assistantship at St Bartholomew’s and a part share in his Harley Street practice. Within twelve months McIndoe was earning a living. Within seven years he was Gillies’s successor in line. In 1938 the Air Ministry, looking ahead to the next war, appointed him civilian Consultant in Plastic Surgery to the Royal Air Force. Gillies had drawn the equivalent appointment with the Royal Navy. The two cousins from Dunedin would run the British plastic-surgical war between them for the next six years.

Nothing McIndoe did at East Grinstead was independent of what Gillies had done at Sidcup. The pedicle grafts, the staged reconstructions, the multi-operation philosophy, the trained nursing teams – all of it had been worked out by Gillies on the casualties of the previous war. McIndoe inherited a method. What he did with it – the saline immersion, the social rehabilitation, the abolition of tannic acid, the Guinea Pig Club – was his own. The two cousins remained close until Gillies’s own death later in 1960.

The tannic acid argument

The first big fight McIndoe had at East Grinstead was about tannic acid. In 1939 the standard British and American treatment for severe burns was to paint the wound with a strong solution of tannic acid, which coagulated the surface into a hard black crust. The crust was meant to seal the burn against bacterial infection and reduce fluid loss. Generations of textbooks recommended it. Every burns unit in Britain used it. It was what had been done to Hillary at the Royal Masonic before he reached East Grinstead.

It did not, McIndoe became convinced in his first year at East Grinstead, work. The tannic acid crust trapped bacteria under the eschar, where they fed on the necrotic tissue and produced infections the surgeon could not see. As it dried, the crust contracted, dragging healthy skin into rigid bands, pulling eyelids open and closing mouths shut, fusing fingers into a useless paw. McIndoe noticed something else. Pilots who had ditched in the sea before being picked up arrived at East Grinstead with cleaner wounds and faster healing than pilots who had baled out over land. The salt water was doing something. He began to bathe burn wounds in warm saline, kept them open, changed dressings often, did not crust. Healing improved measurably.

The argument took eighteen months. The Royal Air Force medical branch and the Ministry of Health did not particularly want to overturn a decade of national burns doctrine on the say-so of a New Zealand civilian. McIndoe, who had a temper, made the argument in writing, in person, in lectures, and on hospital floors. By the end of 1940 he had won. The Ministry of Defence and the RAF banned tannic acid for burns of the face and hands. The change probably saved thousands of lives across the Allied war effort. He did not invent saline immersion – the principle was already loose in the surgical literature – but he did persuade a national health establishment to abandon a treatment that was actively making things worse, in time for the casualties of D-Day, the Lancaster crews of Bomber Command, and the carrier pilots of the Pacific.

What he did with the wounds, after they were clean, was Gillies’s technique applied with a New Zealander’s patience. The signature move was the “walking-stalk” tube pedicle. To rebuild a destroyed nose or eyelid, the surgeon cut a long flap of healthy skin from the patient’s chest, sewed it into a fleshy tube still attached at one end, and over weeks “walked” the free end up the body to the wrist and then to the face. The patient carried his future nose around on his arm, like a man carrying a length of garden hose, for months. For patients with destroyed faces it was the only way to bring living, blood-supplied skin to a place where there was none left. The Guinea Pigs referred to one another by the location of their tubes – “the chap with the elephant’s trunk”, the one with “the second nose growing out of his wrist”.

None of this was done in one operation. The Guinea Pigs, by definition, were the men who had had at least two; the average was closer to fifteen. Bill Foxley, perhaps the most badly burned pilot of the war – he had crawled back into a burning Wellington bomber to drag out his navigator and lost his eyelids, his nose, his lips, three fingers and most of his vision in the doing – underwent twenty-nine operations under McIndoe between 1944 and 1947. Tom Gleave had thirteen. Geoffrey Page had fifteen. Hillary had eight or nine, because he could not stand the boredom of the ward and kept arguing his way out of theatre slots. McIndoe humoured him.

The Boss

What is striking about McIndoe’s ward, looking at the records and the memoirs side by side, is how unlike a hospital ward it was. He understood, in a way the average British military surgeon of 1940 did not, that a man whose face had been melted off was not going to recover only in his body. He was going to recover, or fail to recover, in his ability to walk into a pub at twenty-two with no eyelids and order a beer, to look at a girl and not look away first, to marry someone. McIndoe regarded this as part of his surgical responsibility.

Hospital Blues, the standard convalescent uniform of the British military patient – a shapeless blue cotton suit with a white shirt and a red tie – was banned. McIndoe burnt the issue of Blues sent to East Grinstead in the boiler. His patients wore service uniforms with rank, full RAF blue with wings on the chest, regardless of whether they were physically able to fly. Shirts were adjusted by the nurses to do up with cuff-pulls instead of buttons; trousers had elastic at the waist for men who could not yet manage flies. The uniform mattered enormously. A man in RAF blue is an officer of His Majesty. A man in Hospital Blues is an embarrassment.

There was a barrel of beer in the corner of Ward III, kept topped up by Whitbread on standing donation. McIndoe held that a young man recovering from a major operation needed beer more than he needed milk; he was probably right. Matron Caroline Hall made her peace with it. Visiting hours were ignored. McIndoe brought in actresses and singers from London – Vera Lynn, Frances Day, the cast of any West End show willing to make the train trip down. Clark Gable, on his way through England in 1942, spent an hour walking the wards. McIndoe walked every visitor past every bed.

McIndoe did the rounds in the afternoon and operated in the morning. He was a fast surgeon, not a flashy one. Sister Jill Mullins, his theatre sister, recalled that on a heavy day he would do as many as six major reconstructions between eight and three, eat a sandwich at his desk, and start the rounds. The Guinea Pig anthem, written later by Edward “Blackie” Blacksell to the tune of Aurelia, has the line “John Hunter runs the gas works, Ross Tilley wields the knife”. Hunter was the chief anaesthetist; Tilley the Canadian surgeon who arrived in 1942 to look after the growing numbers of RCAF casualties. Mullins, Hunter, Tilley and McIndoe formed a tight team that did not change for the duration of the war. McIndoe’s operative results were demonstrably better than any other British plastic-surgical unit’s. The Guinea Pigs themselves attributed this less to McIndoe’s technique – which was Gillies’s – than to the team. The team was McIndoe’s.

The patients called him the Boss. Some called him the Maestro. He called them, all of them, his boys. He knew their squadrons, their planes, a fair amount of their family situation. He wrote to their mothers and their wives. He attended their weddings and was godfather to a number of their first children. When a Guinea Pig married – often to the nurse who had bathed his burns – McIndoe wrote a personal letter to the bride, telling her she was marrying one of his boys and asking her to look after him. He meant it operationally. The boy would be back to him in three months for the next stage.

The town that did not stare

The most original thing about McIndoe’s East Grinstead, and the part of his work that has had the longest cultural afterlife, was not strictly surgical at all. It was what he did with the town.

East Grinstead in 1940 was a town of about ten thousand people. McIndoe, in the second half of 1940, did something no British hospital administrator had ever done. He went to the local council, the Rotary, the Women’s Institute, the publicans, the cinema managers and the shopkeepers, and asked them for a particular kind of help. He told them that the men in his ward were going to be very badly disfigured for the rest of their lives. He told them that the worst thing for these men – worse than the operations, worse than the pain – would be the moment when they stepped outside the hospital gates in their RAF uniforms and walked into a Sussex high street and saw a small child point and a woman cross the road. He asked the town to make sure that did not happen.

The town agreed. From the autumn of 1940 onwards, in a way that has never been quite explained but is documented in dozens of memoirs, the people of East Grinstead simply made themselves not stare. Men with no faces walked into the bar of the Whitehall, a restaurant on London Road that became the Guinea Pigs’ unofficial mess, and the manager and the waitresses spoke to them as if they had walked in from a perfectly ordinary day. Men with hands fused into mittens of skin were dealt with in the high-street barber and chemist as if their hands were hands. Couples invited Guinea Pigs home for dinner. Local dance halls took them as a matter of course. Some local girls married them. Bill Foxley, who lost most of his face dragging the navigator out of his Wellington, married Catherine Arkell of East Grinstead at St Swithun’s in June 1947, by which time he had had thirty-three operations and she had been working at the hospital for two years.

This was not a spontaneous act of national virtue. It was a piece of social engineering. McIndoe set it up, and the town agreed to it, and once it had been agreed to it was sustained by ordinary British politeness, which has a very strong streak of refusal-to-make-a-fuss in it once a community has decided what the right thing is. The Guinea Pigs noticed the difference between East Grinstead and anywhere else. On weekend leave to London they came back, in many cases, deeply shaken, because outside East Grinstead they were stared at. Inside it they were not. By 1942 the phrase “the town that does not stare” had begun to appear in newspaper coverage of the hospital. By 1944 it was a national property.

The Guinea Pig Club

The club itself was founded on a Sunday afternoon – 20 July 1941 – in a hut on the hospital grounds, after a long lunch involving a substantial amount of beer and at least one bottle of South African sherry. There were thirty-nine founding members. None was prepared to admit that the meeting was a serious one. Geoffrey Page was elected chairman; he had two functioning hands by 1941 and was therefore best placed to write things down. Peter Weeks was elected treasurer because his legs were both still in plaster and, as a member observed gravely, he could not run away with the funds. The first secretary, a Royal Air Force officer named Tickner, was elected because his hands had been so badly burned that he could not take many notes. The club president was, by acclamation, the Boss.

Membership was open to any Allied airman who had been operated on at East Grinstead at least twice. The annual subscription was two shillings. Tom Gleave, pulled from his burning Hurricane on 31 August 1940 with his hands and face cooked, was elected the first and only Chief Guinea Pig. He held the office until his death in 1993, fifty-two years later. By the end of the war the membership stood at 649. Roughly a third were Royal Canadian Air Force; smaller numbers from Australia, New Zealand, France, Poland, Czechoslovakia, the United States, the Soviet Union. The club anthem, written by Blacksell to the hymn tune Aurelia, opened with the lines “We are McIndoe’s army, we are his Guinea Pigs”. The Guinea Pigs sang it at every dinner, every reunion, for sixty-six years.

The dinners were the substance of the club. The first was held at the Star Inn in East Grinstead in 1942, and the annual dinner ran almost without fail until 2007 – sixty-five consecutive years. McIndoe presided over the first nineteen of them. The 1949 reunion is documented as a particularly heavy occasion: 225 Guinea Pigs, under the supervision of their wives and the disapproving eye of Matron Hall, drank in the order of three thousand bottles of beer, 125 of whisky and 72 of sherry between Friday evening and Sunday lunch. They called it, with characteristic understatement, the Lost Weekend. The Lost Weekends were the moments at which the men sewn back together in 1940 could put themselves down again, in a room of men who looked the same way and who did not care.

The patients themselves wrote about it later. Hillary’s The Last Enemy, in 1942, set the tone – clear-eyed, ironic, refusing self-pity. Page’s Tale of a Guinea Pig, published in 1981, did the same in a more cheerful key. Tom Gleave wrote a drily funny account, I Had a Row with a German, of his own crash and recovery. None of these books contains a sentimental sentence about McIndoe. He had trained them out of it. The closest McIndoe himself came was a sentence in a 1944 lecture at the Royal College of Surgeons in which, asked about the Guinea Pig Club’s exclusiveness, he said it was “the most exclusive Club in the world”, with an entrance fee most men would not care to pay. He almost never spoke about the men in public. Privately, his nieces remembered later, he could not get through a Christmas Day without a long pre-lunch walk on his own to think about them.

After the war

The war ended in May 1945. McIndoe’s Ward III did not. The remaining 350-odd patients continued to be operated on through 1946, 1947, 1948. The Centre for Plastic and Jaw Surgery became, in peacetime, the regional plastic-surgical unit of the new National Health Service. It is still there. McIndoe was knighted in the King’s birthday honours of 1947 in recognition of his work restoring the burnt young airmen of the war. He was forty-seven. The honour did not visibly change him. He continued to operate, take private patients in Harley Street – the post-war “McIndoe nose” was the standard London-society rhinoplasty for fifteen years – and attend the Guinea Pig dinners.

The first marriage had been quietly disintegrating since the late 1930s. Adonia, the Dunedin girl he had married in secret in 1924, had borne him two daughters – Adonia and Vanora. The marriage had not survived McIndoe’s wartime hours or his peacetime restlessness. They divorced in 1953. In 1954 he married Constance Belchem – Connie – whom he had met on the Riviera in 1947 and who had divorced her own husband, Major-General Belchem, two years earlier. The Guinea Pigs who knew her remembered her as a shrewd protector of his time. She was at his bedside when he died.

The other obsession of McIndoe’s post-war years was Africa. He visited East Africa for the first time in 1947, with the surgeon Michael Wood, and fell, in his own description, irretrievably in love with the country. In 1950 he bought 1,200 acres on the northern slopes of Mount Kilimanjaro and tried to grow coffee, wheat and cattle. The farming was a financial flop. The visits were not. In 1957 McIndoe, Wood and the American surgeon Tom Rees founded the African Medical and Research Foundation, AMREF, a flying-doctor service for the rural populations of East Africa. AMREF flew its first mission in October 1957 from Wilson Airfield in Nairobi. It is now the largest indigenous health charity in Africa, with a staff of over 2,500 across eleven countries. McIndoe was the founding chairman. He flew up to East Africa once or twice a year for the rest of his life, mostly to operate. The Africa work, in his own private estimate, was the equal of the Ward III work. It is the part of his life that New Zealand readers in particular tend not to know about.

11 April 1960

He was working at full pace in the spring of 1960. He had just delivered the Bradshaw Lecture at the Royal College of Surgeons, on reconstruction of the burned face, the previous autumn. He had been re-elected vice-president of the College. He was, in his fifty-ninth year, putting on the last serious work of his life. On the night of 10 April 1960 he had dinner with Connie at their flat at 84 Albion Gate, London, retired to bed, and died in his sleep of a coronary thrombosis sometime between two and four in the morning. Connie found him at first light. He was 59. The Guinea Pig Club was twenty years old that summer.

The funeral was held at the Royal Air Force church of St Clement Danes in the Strand. The body was cremated at Golders Green and the ashes brought back to St Clement Danes for interment, an honour usually reserved for senior RAF officers and, for a civilian, almost unique. The pallbearers included Tom Gleave, Geoffrey Page, Bill Towers-Perkins, Bill Foxley, Sam Gallop and Richard Pape – six of the original Guinea Pigs, in full RAF dress uniform, all of them wearing faces or hands McIndoe had built. The service was attended, by more or less complete consensus, by every surviving Guinea Pig in Britain who could get to London. There were several hundred. They sang, in a quiet voice, the club anthem at the close.

His estate was small. He had spent most of what he earned on his hospital, his Africa, and his patients; the post-war Harley Street fees had funded AMREF and the East Grinstead research effort more than they had funded him. The Guinea Pig Club was left a hundred pounds and a typed letter, addressed to Tom Gleave as Chief Guinea Pig, that asked them to keep meeting. They did. The annual reunions ran for another forty-seven years.

What we do with him

New Zealand has a habit of losing its second-rank great, and McIndoe is one of the great losses. Hillary is on the five-dollar note; Rutherford is on the hundred. McIndoe is on neither. There is a

The Martin Jennings bronze monument to Archibald McIndoe, East Grinstead High Street
The Martin Jennings monument in East Grinstead High Street, unveiled by the Princess Royal in 2014. McIndoe stands beside a seated airman with a bandaged face. The airman is deliberately unidentified; he could be any of the 649 Guinea Pigs. Photograph by GrindtXX, CC BY-SA 4.0.
McIndoe statue in East Grinstead High Street, a 2014 bronze by Martin Jennings showing him standing beside a seated airman with a bandaged face, that is the closest thing the man has to a public memorial in the country he worked in. There is a bust at the Queen Victoria Hospital, a McIndoe ward at Auckland Hospital, a McIndoe surgical scholarship at Otago, and a Wikipedia entry. There is no New Zealand statue. No film has been made. No street in Dunedin carries his name.

This is a small national failure. McIndoe was not the obviously heroic figure that an Edmund Hillary or a Charles Upham was – he did not summit anything or charge a machine gun – but the work he did at East Grinstead between 1939 and 1960 changed the conditions of life for several hundred badly burnt young men, and through them, for every burns patient since. The principles he established – saline immersion not tannic acid, aggressive early debridement, serial reconstruction over years not months, the social rehabilitation of the disfigured patient as a clinical priority, the surgical team rather than the surgical genius – are, sixty-six years after his death, the orthodoxy of every burns unit in the world. Burns surgery as practised at Middlemore Hospital’s national burns unit in Otahuhu, at Texas Galveston, at the Concord Repatriation in Sydney, is McIndoe’s grandchild.

What he also left behind, less measurable but possibly more important, was a particular kind of moral attention to disfigurement. The town that did not stare turned out to be a piece of social technology that other places – Christchurch after the 2011 quake, Australia after the Black Saturday bushfires – could replicate. It originated in McIndoe’s walk around East Grinstead in the autumn of 1940.

His own measure of his life was unsentimental. Asked late in 1959, in his only sustained broadcast interview, what he was proudest of, he answered – in a voice his Guinea Pigs would have recognised at once, dry, slightly bored, refusing the obvious answer – that he had had the great good fortune to work with men who would not let him fail them, and that he would like to be remembered, if at all, as a competent surgeon who had occasionally made the right decision in time. The Guinea Pigs, listening at home, recognised the tone immediately. It was the Boss refusing the eulogy, refusing to admit that what he had done was anything other than what a competent man would have done in his position.

What a competent man would have done in his position was, in fact, a great deal less. The work cost him a marriage, his first family, much of his health, and most of the money he ever made. He did it anyway. He died in his sleep at fifty-nine, having spent twenty years rebuilding the bodies and public lives of men whose own country had not been able to keep them whole. The country he came from has tended, slightly shamefully, to forget him. The country he worked in put him in bronze in the high street.

The bronze airman at the foot of the McIndoe statue in East Grinstead is unidentified, and deliberately so. He could be Hillary. He could be Page. He could be Gleave or Foxley or any of the 649. He sits with his hand on his bandaged face and looks up at the New Zealander standing over him. His expression is the look of a young man trusting, against all available evidence, that the older man knows what to do next. The expression on the surgeon’s face is the small, tight look of a man who has, in fact, decided what to do next and would rather get on with it. It is, of all the McIndoe images, the one closest to the truth.

Sources and further reading

  • Richard Hillary, The Last Enemy (Macmillan, 1942) – the foundational primary text on McIndoe’s ward and on what it felt like to be one of the early Guinea Pigs. Reissued by Vintage in 2018 with an Sebastian Faulks introduction.
  • Geoffrey Page, Tale of a Guinea Pig: The Exploits of a World War II Fighter Pilot (Pelham, 1981, reissued as Shot Down in Flames by Grub Street, 1999) – Page’s own memoir, with the dedication that became McIndoe’s standard epitaph.
  • Tom Gleave, I Had a Row with a German (Macmillan, 1953) – the Chief Guinea Pig’s account of his own crash, recovery and the early days of the club.
  • Hugh McLeave, McIndoe: Plastic Surgeon (Frederick Muller, 1961) – the standard contemporaneous biography, written by a Sunday newspaper journalist with full family co-operation in the year of McIndoe’s death.
  • Edward Bishop, The Guinea Pig Club (Macdonald, 1963) – the official club history, written eighteen months after McIndoe’s death, drawing on dozens of patient interviews now otherwise lost.
  • Emily R. Mayhew, The Reconstruction of Warriors: Archibald McIndoe, the Royal Air Force and the Guinea Pig Club (Greenhill, 2004; revised Pen and Sword, 2018) – the standard modern history, by the Imperial College historian who has done more than anyone to recover the East Grinstead archive.
  • Reginald Pound, Gillies: Surgeon Extraordinary (Michael Joseph, 1964) – the cousin’s biography, including the McIndoe relationship.
  • The East Grinstead Museum Guinea Pig Club archive – oral histories, photographs, the original founding minutes, the club anthem in Blackie Blacksell’s handwriting.
  • The West Sussex Record Office Queen Victoria Hospital archive – the surgical case notes, including post-operative photographs taken weekly through the Guinea Pig reconstructions.
  • NZHistory, Sir Archibald McIndoe biographical page, Ministry for Culture and Heritage.
  • Te Ara, the Encyclopedia of New Zealand, McIndoe, Archibald Hector entry by Jenny Robin Jones.
  • The Queen Victoria Hospital East Grinstead heritage pages – current NHS account of the hospital’s wartime work and the Centre for Plastic and Jaw Surgery.
  • The Blond McIndoe Research Foundation – the modern continuation of McIndoe’s research programme into burns, scarring and skin reconstruction, based at Queen Victoria Hospital.
  • AMREF Health Africa, Our History – the flying-doctor service McIndoe co-founded in Nairobi in 1957.
  • Roy Plomley, Desert Island Discs interview with Sir Archibald McIndoe, BBC Light Programme, broadcast 7 December 1959 – the only sustained McIndoe broadcast interview, recorded six months before his death; held at the BBC Sound Archive.

A note for readers

This profile is the latest in Newswire’s Great New Zealanders series – long-form portraits of New Zealanders whose work changed the world, and who, in most cases, are still less famous in their own country than they ought to be. If you have a McIndoe connection of your own – a relative who was treated at East Grinstead, a great-uncle in the Guinea Pig Club, a story passed down from the old Mayo Clinic days, an AMREF link, a memory of the family in Forbury – we’d love to hear it. Please leave a comment below.

This article was written by AI, briefed to report the facts, hopefully without some of the bias people bring to the job πŸ™‚

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