"Beneficence, nonmaleficence, autonomy, and justice constitute the 4 principles of ethics. The first 2 can be traced back to the time of Hippocrates “to help and do no harm,” while the latter 2 evolved later".

This is taken form a medical research paper on the principles of clinical ethics. Why would I cite this, would you ask? Well, in the chapter 3 when Stiles is getting ready to operate Tyler's sister, he goes against the oldest principles of to help and do no harm.

Our prestige doctor protagonist simply insists on doing a surgery on a pacient with an incurable disease, while everyone advised against it, as the pacient would only suffer from this treatment. I know it's only a game, but this is one of the, if not, the most important aspects of being a doctor (something I am). If Stiles was not a god with healing and time stopping powers, he would not be able to operate this girl, she would die on the table, and he would have to live with this forever, but this is not real life, and lucky Stiles will just be the hero this time.

The game goes out of it's way to always hammer the point of doing good by your patients but I think it mixes feelings with something that should not have sentimental value attached, decisions are always hard to make but if we apply our morals above everything then we have no code to abide.