We provide all the complexity, challenge, variety and pace of those environments, but with fewer artificial, client-related deadlines, and without the internal bureaucracy of a large organisation.
However, comparisons have shown stapedotomy to yield results at least as good as stapedectomy, with fewer complications, and thus stapedotomy is preferred under normal circumstances.
Getting an end date on these later toppers can be a Herculean task, because fewer and fewer papers printed the toppers as the decade of the 1930s wore on.