
Posters slapped onto city buses and benches show a steady hand gripping a gleaming scalpel. Bold lettering with a fuzzy shadow jumps out with the name SILAS CARVER, Plastic Surgeon to the Stars.
I am he.
Sans starsโunless you count the porn actress whose nipples I nudged a few centimeters north. Something about easier access.
It was a Tuesday morning. I was shuffling papers on my desk because I didn’t have anything else to do. Business had been slow. Oh, people still wanted their breasts sculpted so they would gently sway upward toward the Crab Nebula. They still craved Botox injections, transforming themselves into blow-up dolls with attitudes. But divorce lawyers weren’t working pro bono, and neither was I.
I needed a real payday.
โDoctor?โ came the craggy voice of my nurse over the crackling intercom. โIโve got a walk-in here. No appointment.โ
โMan or woman?โ
โDoes it matter?โ
โMy bank account says no.โ
โIโll send her in.โ
She was short. Blonde. Attractive. Fit. Around 25. Dressed in designer jeans and a silk blouse. Money!
Hmm. I didnโt peg her as rhinoplasty, lifting, or breast enhancement, but she did walk funny, as if her left earlobe pulled her into the room. Lovely earlobes, though. Not too pendulous.
I stood up to greet her. โPlease have a seat, Msโฆโ
โYONDERBECKON. EMILY YONDERBECKON. THANK YOU, DOCTOR.โ
Holy mother of God! Why was she screaming?
We sat down. โI should say right off the bat, Ms. Yonderbeckon, I canโt help you with hearing loss.โ
โI didnโt come for that,โ she whispered, perhaps overcompensating.
Whatโs wrong with this woman?
โOkay, so what can I do for you? Thereโs no obvious reason for your visit.โ I gestured as I spoke, kept it clinical. โSymmetrical face, almond eyes, harmonious nasal alignment. Full breasts. Curvy but fit body. A swimsuit model if Iโve ever seen one.โ
โI need a new set of ears,โ she whispered, so softly I barely understood.
โExcuse me?โ
โI want a new pair.โ
โYou want ear surgery? Why? Theyโre perfect!โ I donโt know why I argued. I was in the red, but perhaps some vestige of professional responsibility remained. โBesides, as I implied, otoplasty is not going to help you with hearing loss.โ
As I spoke, she leaned in closer and closer with her right ear cocked toward me, concentrating on my every word as if she were terrified she might miss something.
When I finished, she sat back. โI DONโT WANT OTOPLASTY. I WANT MORE EARS TO HEAR THE CHILDREN.โ
โYou mean more than two?โ
โYes. Two more. On the back of my head.โ
โHuh?โ
Now she looked around the room, aiming her ear like a gun toward the corners. โRats? Do you have rats in here? I hear scuttering. In the walls. Oh, God! What if itโs not rats?โ
โThere are no rodents in here. Just you, me, and four perfectly placed sensory organs as God intended. You donโt need more ears, Ms. Yonderbeckon. What you need is an audiometric evaluation.โ
And a licensed therapist.
She removed a fidget spinner from a pocket of her jeans and fussed with it, her head slightly spinning with the whirring sound of the toy.
โI HEAR EVERYTHING PERFECTLY,โ she yelled into her lap, then adjusted her voice. โMy hearing is excellent according to my ENT.โ
โSo why do you need two more ears?โ
โWell, people have eyes in the back of their heads.โ
โThatโs a metaphor, Ms. Yonderbeckon. No one really has eyes in the back of their heads.โ
โA SHAME,โ she yelled. She spun the toy faster. โHow many tragedies could we have diverted if only we had eyes and ears in the back of our heads?โ she said, her voice tinged with despair.
Iโd just read an article on Cinderella surgery. Some Hollywood actress wanted her feet truncated to fit into designer shoes. Or what about tongue bifurcation for the satanists? Or dimpleplasty of the chin? I saw a future in what I could call โvestigial cosmetics,โ and perhaps publication in the Plastic and Reconstructive Surgery journal. But mostly I saw green.
I cleared my throat. โI could do that for you, for the right price. Nevertheless, it would be purely cosmetic. You wouldnโt hear anything from the back of your head.โ
She rose from her chair and leaned over the desk, her left ear mere inches from my lips. โSay that again.โ
I repeated it.
She collapsed in her chair, disappointment tugging down the corners of her mouth.
Then she sat bolt upright. โWait! Do you hear that?โ
Silence ensued. I heard only my nurse yawning vocally in the outer office. โHear what?โ
โA baby crying.โ
โI hear no baby crying.โ
โLISTEN HARDER.โ
For the sake of advancement in plastic surgeryโand a hefty feeโI focused, despite my skepticism. I let a full minute pass before I said, โMy nurse is groaning with boredom in the next room. Thatโs all.โ
She rose from her chair and put her ear to a wall. โI hear it all the time now. The crying. Over everything else. A movie. The chatter in a supermarket. A poetry reading in a bookshop. The crying. Incessant. Desperate. A child in distress.โ
Even Iโa cynical, venal, and morally grubby surgeonโcould not maintain my bedside smile. It collapsed.
โPlease, Emily. Sit.โ
Head down, fidget spinner hanging loosely in her hand, she took a seat again.
โWhat happened?โ
Tears pooled in the delicate folds of her lower eyelids. She sniffled, wiped her nose on her sleeve. โI WAS JUST IN THE OTHER ROOM! One minute I heard her cooing, the next nothing. There was something in between. I DIDNโT HEAR IT. My back was to the sound at the time. She must have been crying. MUST HAVE NEEDED ME.โ
She kneaded her forehead with her tense fingers. โIf Iโd had ears in the back of my head, I wouldnโt have missed it.โ
The fidget spinner shudderedโฆ and stopped.

Peter Mangiaracina is a writer and English instructor based in the Canary Islands, Spain. Originally from New York City, he spends his time balancing work, storytelling, and his love for videography and jazz fusion guitar. His fiction has appeared in The Morgue Magazine (Pull the Strings, Dec. 2024), Three Panels Press (Facing the Music, Jan. 2025) and Bewildering Stories (The Alchemy of Attraction, February 2025). He recently completed his first novel, The Canary Killer, a mystery/thriller.


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