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Dirty Work
Dirty Work
Dec 4, 2025 10:47 PM

Author:Gabriel Weston

Dirty Work

Winner of the McKitterick Prize

Two women in a room.

‘Courageous’ Rachel Cusk, Guardian

One is dying.

‘Gripping’ Observer

The other just sits back and watches.

‘Necessary’ Independent

For both, there is everything to lose.

Surgeons are meant to save lives, but Nancy is a special kind of surgeon. When she makes a mistake in the operating theatre she is summoned to explain herself to a tribunal and is forced to consider what it means to be a doctor who has killed as well as cured. And to realise that her own redemption can only come through telling a tale that nobody wants to hear.

Gabriel Weston, author of the acclaimed Direct Red: A Surgeon’s Story, winner of the 2010 PEN/Ackerley Prize, has written an extraordinarily moving and powerful novel.

Reviews

A lot of novels are called “brave”, and they aren’t. This one is.

—— Lionel Shriver

A brilliantly intense, thought-provoking story

—— Stylist

Gripping, well-researched and elegantly written

—— Rosamund Urwin , Evening Standard, Books of the Year

This courageous and interesting author is that unusual thing, a contemporary moralist

—— Rachel Cusk , Guardian

Bold, brave, and uncomfortable… it's a gripping read

—— Observer

The subject matter is brave, the moral perspective complex, the writing vivid

—— Lionel Shriver , Mail on Sunday

Weston has an unwavering passion for the truth as well as the courage to tell it.

—— Ian Thomson , Sunday Telegraph (Seven)

Weston excels at writing about medicine precisely…but with great subtlety of tone that allows readers to appreciate the human faultlines that lie beneath conventional portraits of doctoring.

—— Vivienne Parry , The Times

Weston is a superb writer of lucid and evocative prose… This is not a dark book so much as a deeply thoughtful one

—— Independent

Few writers capture the mentality of surgery as incisively as Ms Weston has managed to. Her experiences in hospitals are palpable on the page.

—— Economist

Highly intense… Impressive stuff.

—— Doug Johnstone , Big Issue

Extremely powerful.

—— The Skinny

Extraordinarily powerful.

—— Reading Matters

An important and thought-provoking book.

—— Farmlane Books

Will certainly raise questions for further thought by the reader even after putting the book down.

—— We Love This Book

Intense.

—— Victoria Burt , UK Regional Press Syndication

The subject matter is brave and necessary… Weston is a superb writer of lucid and evocative prose… This is not a dark book so much as a deeply thoughtful one. I would make it obligatory for the medical curriculum.

—— Leyla Senai , Independent

Gripping, well-researched and elegantly written – but definitely not for the squeamish.

—— Rosamund Urwin , Evening Standard

Scalpel-sharp.

—— Ian Thomson , Observer

Weston’s fast-paced novel raises questions of integrity, morality and medical ethics.

—— List

A powerful piece of writing.

—— UK Press Syndication

Dirty Work is a fascinating, thought-provoking and at times deeply troubling tale. Weston presents a balanced and brutally honest portrayal of a difficult theme.

—— Ray Clarke , ENT & Audiology News

Visceral and moving.

—— William Leith , Evening Standard

Lachyrymachismo. The art of being weepy and tough at the same time. This book has it in spades. Or rather buckets.

—— Private Eye

The great thing about Roddy Doyle is his ear for the demotic… The Guts is a good read.

—— Melanie McDonagh , Evening Standard

Doyle explores post-boom Ireland with gusto.

—— Claire Coughlan , Sunday Independent, Ireland

Unsurprisingly, every bit as good as the original [The Commitments], Doyle is one of those rare writers who never disappoints

—— Socialist Unity

Wise, wistful and poignant.

—— Sebastian Shakespeare , Tatler

Bittersweet.

—— Justine Taylor , Guardian Online

Long-awaited sequel.

—— Mark Perryman , Huffington Post

Doyle’s ear for dialogue is as acute as ever and there’s a lot of amusing asides about contemporary life in this revisiting of much-loved characters.

—— Irish Independent

A book full of Doyle's dark humour mixed with melancholy and wonderful moments of sheer madness.

—— Good Book Guide

The feat of The Guts is Doyle’s ability to create in Jimmy a character who hangs together even while so many of his certainties have collapsed. And to get a few good jokes in as well.

—— Mark Athitakis , Washington Post
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