J. Marion Sims

J. Marion Sims
J. Marion Sims, engraving after photograph, ca. 1880
Born
James Marion Sims

January 25, 1813 (1813-01-25)
DiedNovember 13, 1883(1883-11-13) (aged 70)
Resting placeGreen-Wood Cemetery, Brooklyn, New York, U.S.
Alma materJefferson Medical College
OccupationSurgeon
Known forvesicovaginal surgery
SpouseTheresa Jones
Children9
Relatives
Signature

James Marion Sims (January 25, 1813 – November 13, 1883) was an American physician in the field of surgery. His most famous work was the development of a surgical technique for the repair of vesicovaginal fistula, a severe complication of obstructed childbirth. He developed this technique via non-consensual and unanesthetized surgeries on enslaved black women Anarcha Westcott, Lucy and Betsey and impoverished Irish women. He is also remembered for inventing the Sims speculum, the Sims sigmoid catheter, and Sims' position. Against significant opposition, he established, in New York, the first hospital in the United States specifically for women. He was forced out of the hospital he founded because he insisted on treating cancer patients; he played a small role in the creation of the nation's first cancer hospital, which opened after his death.

Sims was one of the most famous and admired American physicians of his era. He was elected President of the American Medical Association in 1876, and he was one of the first American physicians to become famous in Europe. He openly boasted that he was the second-wealthiest doctor in the country. However, as medical ethicist Barron H. Lerner states, "one would be hard pressed to find a more controversial figure in the history of medicine." A statue in his honor was erected in 1894 in New York City's Bryant Park, the first statue in the United States in honor of a physician. It stood for 124 years before being removed in 2018.

Today, many medical ethicists criticize how Sims developed his surgical techniques. He operated on some enslaved black women and girls who, like prisoners, could not meaningfully consent because they could not refuse. During the 20th century, his experiments began to be condemned as an improper use of human experimental subjects. Sims has been described as "a prime example of progress in the medical profession made at the expense of a vulnerable population". Some medical historians have defended Sims' practices as consistent with the accepted standards of his time. According to Sims, the enslaved black women upon whom he experimented were "willing" patients who had no better options for treatment.

Sims was a prolific writer and his published reports on his medical experiments, together with his own 471-page autobiography (summarized in an address just after his death), are the main sources of knowledge about him and his career. His positive self-presentation has, in the late twentieth and early twenty-first centuries, been subject to revision.