Alexander Falconbridge said that most surgeons only worked on slave ships because of their financial situations due to several reasons. Setting up a private medical practice in Europe was often very expensive, and many surgeons who lacked wealth and had families to support felt compelled to take the position of slave ship surgeon. Falconbridge, along with other surgeons like Thomas Trotter, acknowledged that money was the main motivator. Surgeons were often "driven to engage in so disagreeable an employ by the confined state of their finances." The compensation for slave ship surgeons was relatively respectable, including free medicine and instruments, and importantly, a bonus for each slave who survived the Middle Passage. This financial incentive was significant enough to force many surgeons into this morally troubling role despite the horrific conditions and ethical contradictions involved.
