Men were not allowed to operate on women at the time so they did not know how this part of the female anatomy functioned and there were no female surgeons.
She was not considered a woman which was how they justified it.
—
That’s because I did not finish.
He did not use anesthesia with her because who he was operating on was not considered human and her screams were considered to be that of an animal scream and ignored.
He perfected the repair technique on her and then a couple of other black slave women and then opened up a practice for wealthy white women for the repair and they got anesthesia and humane treatment.
Did she need it? Yes.
Was there any valid excuse for him not to give her anesthesia? No.