Facemaker

A New York Times Bestseller

“Enthralling. Harrowing. Heartbreaking. And utterly redemptive. Lindsey Fitzharris hit this one out of the park.” —Erik Larson, author of The Splendid and the Vile


Lindsey Fitzharris, the award-winning author of The Butchering Art, presents the compelling, true story of a visionary surgeon who rebuilt the faces of the First World War’s injured heroes, and in the process ushered in the modern era of plastic surgery.


From the moment the first machine gun rang out over the Western Front, one thing was clear: mankind’s military technology had wildly surpassed its medical capabilities. Bodies were battered, gouged, hacked, and gassed. The First World War claimed millions of lives and left millions more wounded and disfigured. In the midst of this brutality, however, there were also those who strove to alleviate suffering. Lindsey Fitzharris’s The Facemaker tells the extraordinary story of such an individual: the pioneering plastic surgeon Harold Gillies, who dedicated himself to reconstructing the burned and broken faces of the injured soldiers under his care.

Gillies, a Cambridge-educated New Zealander, became interested in the nascent field of plastic surgery after encountering the human wreckage on the front. Returning to Britain, he established one of the world’s first hospitals dedicated entirely to facial reconstruction. There, Gillies assembled a unique group of practitioners whose task was to rebuild what had been torn apart, to re-create what had been destroyed. At a time when losing a limb made a soldier a hero but losing a face made him a monster to a society largely intolerant of disfigurement, Gillies restored not just the faces of the wounded but also their spirits.

The Facemaker places Gillies’s ingenious surgical innovations alongside the dramatic stories of soldiers whose lives were wrecked and repaired. The result is a vivid account of how medicine can be an art, and of what courage and imagination can accomplish in the presence of relentless horror.

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Published Jun 6, 2023

352 pages

Average rating: 7.69

16 RATINGS

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Community Reviews

Red-Haired Ash Reads
Aug 09, 2025
10/10 stars
The Facemaker tells the story of pioneering plastic surgeon Harold Delf Gillies, who dedicated his life to reconstructing the faces of injured soldiers in his care during World War I. After reading The Butchering Art, Fizharris’ first book, I knew that I would want to read any future books that she wrote. This book surpassed my expectations and sucked me in from the very first page. “[T]he science of healing stood baffled before the science of destroying.” -quote from a battlefield nurse Gilles had a remarkable dedication to his work. From the very beginning of the war he realized how facial wounds were being poorly treated and how it affected the soldiers. He was unwavering in his dedication to help these men and went about setting up a specific hospital for facial injuries and restoration. This eventually led to the establishment of the Queen’s Hospital in Sidcup that became the center of facial reconstruction during the war. “These soldiers’ lives were often left as shattered as their faces. Robbed of their very identities, such men came to symbolize the worst of a new, mechanized form of war.” Gillies not only realized the importance of reconstruction, but he also knew that it would take a multidisciplinary team for the work to be successful. He employed surgeons, physicians, dentists, radiologists, artists, sculptors, mask-makers, and photographers who all worked together to assist in the reconstruction process. This man was not only extremely creative with his blade, he also understood the importance of recording their work, hence the artists and photographers. Also, some of this art and photographs still survive today. Learning about Gillies was fascinating, not only for his achievements but for the man himself. Gillies really was a compassionate and hardworking man. He went out of his way to make these men feel human, even when they only saw themselves as monsters. In the epilogue there are some quotes from the men he worked on and it really touched me to see how his positive outlook really impacted their happiness and recovery. This book also briefly discussed the sculptors Francis Derwent Wood and Anna Coleman Ladd who created prosthetic masks for soldiers. I highly suggest looking up photos of Ladd and Wood’s masks because they are beautiful. You can really see the hard work these two put into making realistic masks for these men. This book also discussed brief achievements in anesthesia and blood transfusions, which was fascinating because I didn’t realize how much the war revolutionized the healthcare field. “Men [who] save life never get the same appreciation and reward as those whose business it is to destroy it.” - quote from Sir William Arbuthnot Lane Gillies had a very successful career after the war: In 1930 was knighted for his services during WWI, in 1949 he performed the first successful phalloplasty on a trans man, in 1946 he became the first elected president of the British Association of Plastic Surgeons, and he published two books about plastic surgery. Gillies also was pressed into service again during WWII. Harold Gillies lived a remarkable life that pushed the boundaries of surgery and changed the lives of so many people. Overall, this was an absolutely fascinating book about a fascinating man. This was so well written that at times I almost forgot I was reading a nonfiction book. I highly recommend this book (or her other book) if you are interested in medical history. Also, I love that she acknowledged the work of the archivist who discovered and preserved the clinical records from WWI while working at Queen’s Hospital. As an archivist myself, I love seeing authors acknowledge the hard work we do.

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