Features
COLLEGE OF SURGEONS OF SRI LANKA

“HISTORY OF SURGICAL SERVICES IN SRI LANKA FROM EARLIEST TIMES TO 2021”
by KAMALIKA PIERIS
In 2022, the College of Surgeons of Sri Lanka celebrated its 50th anniversary by publishing, a History of Surgical services in Sri Lanka from the Earliest Times to 2021.” The book examines both schools of surgery known in Sri Lanka, the indigenous system practiced in ancient times and the western one which is practiced today. It offers much new information on the ancient system of surgery and provides definitive information on the western system which replaced it.
The book documents the evolution of modern surgery in Sri Lanka, from its beginnings, when surgeons worked with limited resources and produced good results. The book then goes on to provide a comprehensive, up to date, account of the development of contemporary operative surgery in Sri Lanka, with special emphasis on the individual surgeons who pioneered the sub-disciplines and those who are carrying on the tradition today. It is a definitive work on modern surgery in Sri Lanka
The College of Surgeons said it had several goals in mind when it planned this book. Firstly, to ensure that present day surgeons know about the past, secondly, to show the steady evolution of surgery “amidst odds” to the intelligentsia as well as the doctors, and thirdly, to show the range of sub specialties that are now available island wide and how they were developed. That explains the size of the book.
The book is a large, heavy tome of over 500 pages, profusely illustrated with fine color photographs on quality paper, making it look like a coffee table book, which it is not. It is a very comprehensive, reliable academic work, consisting of texts written by experts, collated and edited by Channa Ratnatunga, a former President of the College of Surgeons. It is a mammoth work and a magnificent achievement.
The section on ancient medicine starts with a comprehensive political history written on invitation by the eminent historian KM de Silva. I found three unique items in this section. Firstly, there is a pie chart of the royal capitals of Sri Lanka, indicating the period of time for each capital, starting with Anuradhapura and ending with Kandy. I have not seen such a pie chart before. It is original and very instructive.
Secondly there are two maps which I have not seen before. One is a map of the route taken by Dutugemunu, when he advanced from Magama to Anuradhapura to oust Elara. The other is a map of Vijayabahu I campaign, to oust the Cholas, illustrating the pincer movement used. Both seem to be original to this book.
The colour photographs in this chapter call for special comment. I have not seen such a profusion of photographs in any history book. They are a varied, interesting collection. They include the earliest potsherd with writing, a pillar edict, a copper plate, a sannasa, a moonstone, the Vatadage, a stone bridge, a map of ancient irrigation works, the ancient sluice discovered at Maduru oya and a beautiful panoramic shot of Kalawewa.
There are other firsts in this section. For the first time ever, scattered references on operative surgery have been gathered together. In addition to the well known documents, the History lists two items which are not well known.
We are told that the Buddhist commentary Kankavitarani refers to 8 kinds of surgical operations and provides a list of instruments for each type. The Historical Manuscripts Commission of 1933 had found dozens of medical manuscripts in personal collections and temples. Purana vihara, Pelmadulla had a manuscript dealing with surgical operations, which had been copied in Sinhala, in 1862.
The compilers have looked for information on the surgical techniques of ancient times. They found one statement on surgical training. In Visuddhimagga, Buddhagosa had made an observation on how surgeons were trained. Pupils are trained in the use of the scalpel by learning to make an incision on a lotus leaf placed in a dish of water, he said. They must make the incision without cutting the leaf in two or pushing the leaf into the water.
The chapter titled, ‘Surgical anecdotes from the Culawamsa’ studies the Mahavamsa data from a surgeon’s point of view. It notes that King Buddhadasa (337-365 AD).has practiced operative surgery. He had treated a snake that had a tumor in its belly. The King had slit open the belly of the snake, taken out the tumor, applied medicine to the wound and cured the snake.
Buddhadasa is also credited with impossible operations, the History said. Buddhadasa had performed an operation for correction of a mal position of a foetus. He had also split the cranium of a patient and removed a toad who had grown inside it, then reconstructed the bisected cranium. Surgeons did not think these operations were likely.
Parakramabahu I (1153-1186) knew medicine, a fact which is rarely mentioned in accounts of this king. Mahavamsa says Parakramabahu I had done a ‘ward round’ surrounded by physicians. He had checked on the medicine given to patients, instructed on mistakes made and by his own hand skillfully showed the use of instruments. “To skilful physicians who were quick at identifying illness and were well versed in textbooks of medicine Parakrama Bahu gave a stipend according to their expertise and made them practice their art day and night,” said the Mahavamsa.
The History of Surgery has an extensive section on surgery during the British administration. it gives the names of the surgeons of this period and the work they did. A. M de Silva, who belonged to a later generation of this group, had removed a foreign body from the trachea of a patient using a magnet tied to a piece of string lowered into the trachea through a tracheotomy.
Surgeons who came after him had interesting observations to relate. When Milroy Paul was stationed in Jaffna in 1931, he found that the brass oil lamp in the operating theatre was not to be used for operations. It must be kept intact for the annual audit. So no operations were performed at night.
ATS Paul recalled that in the 1930s and 1940s surgeons wore waistcoats in Colombo, despite the hot weather. Each week a day was set apart for operations of paying patients in an operating theatre specially reserved for them. It had marble flooring imported from Italy.
The first surgeons were “General Surgeons” who were expected to deal with all surgical cases that came their way. They were sent to the provincial hospitals as well as the General Hospital, Colombo. The book features, one by one, province by province, all the hospitals that offered general surgery. There is a descriptive note on each hospital and photographs of all the surgeons who are currently working there and those who were there in the past.
In the early period, when there were no specialist surgeons, the general surgeons had voluntarily engaged in specialist surgery. They did this as a service. This is not well known. The pediatric surgical service at Lady Ridgway Children’s Hospital in Colombo was for a long time run by general surgeons who agreed to operate there.
General surgery eventually gave way to surgical specialties. The book allocates a separate chapter to each specialty, written by specialists in that subject. The chapters follow a set pattern. How the specialty started, its entrenchment in Colombo and its development in each of the provinces. This is given in great detail, with much description, and includes a table which shows the expansion of the specialty in each province, by number of beds and number of surgeons. Every chapter carries biographical information on each of the surgeons, past and present, who practiced that specialty.
Each chapter ends dramatically with an eye catching map showing the surgeons available in this specialty in the island as at 2021. This is presented in a novel manner, with photographs of the surgeons, neatly blocked with arrows linking them to the province they are working in. This is original and very effective.
History of Surgery
records that surgical specialties were introduced to the state health sector in the late 1950s. Specialist surgeons did not find it easy to establish their specialties in a hospital. The Ministry of Health sent them for training, appointed them as specialists on their return, got them the surgical instruments they asked for and then forget about them. The rest was up to the personal initiative of the surgeon. Urology is a good example.
Urology was established as a specialty in Sri Lanka in 1954 in the General Hospital, Colombo. Dr G.N. Perera was the sole urologist for the whole country at that time. He had just 10 beds, no house officers and had to share operating time with other surgeons.
Decades later, In Kurunegala the urologist only had a single afternoon operating session a week but with the support of the anesthetist and nurses, he operated from 2 pm to 7 pm. The Inner Wheel club had helped to develop the urology ward and clinic in Kurunegala.
Dr. AML Beligaswatte, in Kandy, was asked to treat a VVIP with a urological condition. Dr.Beligaswatte had explained that he could not carry out the necessary surgery as he did not have the facilities. Within two months he had all the equipment he needed.
One of the earliest surgical specialties available in Sri Lanka was heart surgery. Between 1954 and 1975 625 cases of hole in the heart, were corrected. Heart surgery in Sri Lanka has received much praise.
In 2008 US Cardiac Surgeon Dr J.R.Torstveit stated in an interview with the Daily News that Sri Lanka was on par with the best when it came to open heart surgery on children. The success rate at Lady Ridgway Hospital had gone beyond 95 % which places it on par with the very best in countries like US and UK. This was attributed to the selfless dedication and commitment by both local doctors and authorities.
India did a survey of heart surgery in Bangladesh, Bhutan, Nepal, Maldives, Pakistan and Sri Lanka and this was reported in Indian Heart Journal in 2017. The number of cardiac operations done in Sri Lanka, compared to its population was far superior to that of any other South Asian nation, including India, it said.
Transplant surgery started in Sri Lanka on the initiative of three doctors, H. Sheriffdeen, Rizvi Sherif and Geri Jayasekera. These three have not, in my view, received the recognition due to them for their successful introduction of transplant surgery in Sri Lanka.
In 1978, these three doctors, observed that patients were going to India for renal transplants. They discussed the possibility of setting up a renal transplantation programme in Sri Lanka. This first venture into transplant surgery was carefully planned over a period of time. Sheriffdeen used his sabbatical leave to undergo training in renal transplantation in the UK and USA. Rizvi Sheriff set up the necessary dialysis unit in 1980-1985, first in the private sector at Lanka Medicare hospital t and later in the National Hospital, Colombo.
Sheriffdeen returned after training in 1981 and preparatory work for kidney transplant started. .A high level team was assembled for the first operation. This consisted not only of the operating theatre team, but also specialists from other subjects such as pathology and physiology. Nurses were specially trained. A specialist on dialysis and technicians from a private lab were brought in. The team also had an adviser on medico- legal issues.
In 1985 the first living donor kidney transplant operation was successfully carried out by this team at Rutnams Private Hospital, Colombo as permission to carry out this operation in the National Hospital was denied.
Two years later, National Hospital had its first kidney transplantation operation, done by the same team. First pediatric transplantation was also done there in 1987 by them. in 1997 the first transplant using organs from brain dead person (cadaveric) took place at the same hospital.
There were legal issues involved in transplant surgery. The Sheriffdeen team lobbied the Minster of Health and obtained the Transplantation of Human tissues Act no 48 of 1987. With the development of transplant surgery, there was also the need to find donors, and doctors Island wide were alerted about the need to obtain organs from brain dead persons.
The first pediatric renal transplant program in the island was developed at Peradeniya Teaching Hospital in 2004. Peradeniya teaching Hospital is recognized today as the only unit that provides Pediatric kidney transplant service in Sri Lanka. The Medical Faculty at Peradeniya greatly supported this venture and is very proud of its achievement in pediatric transplant surgery.
Initially local doctors had to go to UK to quality as surgeons. Apart from the expense, this had two other disadvantages, said History of Surgery . The surgical illnesses in the west were different to those in Sri Lanka and the operation theatre facilities were far superior. on their return doctors found it difficult to work using the limited facilities in the provincial hospitals. Doctors should be trained in the environment in which they will be working and there is a clear need for local Post graduate medical training”, said the senior surgeons in Sri Lanka.
In 1973, the Advisory Committee on Postgraduate Medical Education recommended to the government that it should start to train medical specialists locally. The Postgraduate Institute of Medicine (PGIM) was set up for this purpose at the University of Colombo. In 1980 the government decided that the degree of Master of Surgery given by the PGIM would be the only qualification recognized in the state health sector.
That was the end of the foreign qualification but the foreign link was retained. The examinations were conducted at the Medical Faculty, Colombo jointly with examiners from the Royal College of Surgeons, London. The written papers for the first MS Part 1 was held, under police guard at a neutral venue, the Agrarian Research and Training Institute, in Colombo, as the GMOA was opposed to local post graduate qualifications.
The ready support given by the medical profession to this sudden transfer of qualifications from London to Colombo has not, in my view, received the appreciation it deserves. This venture, would not have succeeded if not for the whole hearted support of the specialists who were already in service in Sri Lanka.
Local postgraduate training in surgery was an important factor in the development of surgery in Sri Lanka said the History of Surgery. The general and specialized services expanded over the last four decades specifically due to the PGIM. The PGIM training in surgery is much in demand in the region and there are more than a dozen foreign students in the progamme. The PGIM could be an important regional center in the future, it added.
History of surgery is a gold mine of medical biography. The biographies are presented in three clusters, 1860-1910, 1911-1948 and 1949-1975. These biographies are neat and well written. The biographies focus on the professional career of the surgeon, not his personal life. They record the hospitals the surgeon worked in, appointments held and contributions made to surgery. Anecdotes and reminiscences from fellow surgeons, seamlessly woven together by the Editor, make these biographies come alive. Each biography has a pleasing photograph beside it.
There is a clever double use of the biographies. The development of general surgery in Sri Lanka during this period is shown through these biographies. We learn that it was R.L.Spittel who had introduced masks and gloves for the surgeons. Nicholas Attygalle was the first to train his assistants and registrars to conduct operations directly under his supervision. They went on to do major operations on their own.
Biographies are also woven into the rest of the book. The sections on surgical specialties carry biographical information on each surgeon who worked in that specialty, in the early days and today. The section on provincial and teaching hospitals provide at least a mention of each of the surgeons who had worked there, at one time or another.
One of the striking features of this book, is the enormous number of photographs included in it .It is most unusual for a work of this type to have so many photographs of such clarity and good quality. The majority of the photographs are photos of surgeons. They are part of the biographical slant in the book .But they are also cleverly used to function as lists. For instance, instead of an inanimate list of names we have photographs of all the doctors who had worked in a specific hospital. In History of Surgery the editors have used not only photographs, but lists, tables and maps, very cleverly as a substitute for text. .This must be applauded.
This History has been well researched and each chapter has a long list of references at the end. It is printed on high quality paper, well bound and at the grossly under priced rate of Rs. 7,500 a very worthwhile purchase. The book ends with the hope that “in the future we will be able to both innovate and lead the world in the management of the common surgical disorders we see in Sri Lanka “.
“History of Surgery” published by the College of Surgeons of Sri Lanka, priced at Rs 7,500. is available at the College of Surgeons office , No 6, Independence Avenue, Colombo 7.
Features
First leftist Mayor after NM: SJB, UNP beaten at their own game

What’s in a vote? That which we call a show of hands could still be as concealed as a secret vote. The newly elected Colombo Municipal Council has chosen the NPP’s Vraie Cally Balthazaar as the City’s new Mayor, but on a secret vote and not in an open show of hands. The secret vote route appears to have caused much consternation among the SJB-UNP opposition forces at the Town Hall. The latter openly preferred an open show and are blaming the secret vote for the defeat of their candidate Riza Zarook.
On the face of it, the NPP with 49 of the 117 Councillors has a more legitimate claim to have one of own as Mayor rather than the SJB with 29 Councillors. In what has been described as a “desperate move”, the SJB forged a mayoral united front by fusing its 29 members with the UNP’s 13, the SLPP’s five and the singular member of the People’s Alliance (whoever the PA now is).
The beefed up SJB mayoral front total of 48 was close enough to the NPP’s 49 for claims of legitimacy, and both sides needed the support at least another 11 or 10 from the remaining 20 members to get the required majority of 59 votes. In the secret vote, the NPP’s candidate presumably got 12 of the non-allied votes to get 61 votes in total. The SJB mayoral front got only six for a total 54 votes. Two votes, there’s no certainty as to whose, were rejected.
Would the result have gone the other way if this municipal conclave had decided on an open show instead of papal secrecy? You do not need supernatural powers to determine that. Let alone a clairvoyant like Gota’s Gnanaka! The commonplace supposition would be that a secret vote may have allowed secret transactions to secure support with hidden hands.
But no one is accusing the JVP-NPP of resorting to such time-(dis)honoured tactics perfected for over 75 years by the UNP and later copied by all others, and most vigorously by the Rajapaksas. If I remember right or not mistaken, the Sunday Times Political Editor made the point after the May LG elections that there was no hanky-panky meddling in the elections by the NPP government – unlike (this is my parentheses) all previous governments in all previous elections.
As well, we may turn the question around and ask about the insistence on an open show of hands as against a secret vote. Is it because the SJB is now all for keeping its hands clean and asking others to show their hands of support in the open without receiving undue incentives? OR is it because the SJB and its allies wanted to see in the open which of the NPP councillors, who may have been beneficiaries of earlier incentives, would now betray them and support the NPP candidate?
Put another way, was it a stratagem to ask for a show of hands to see the breach of loyalty in the open in spite of past IOUs? The latter hypothesis has greater credibility because of the blessings given to the SJB alliance by two former presidents representing two fallen political houses.
No matter what happened secretly and how, the eventual victory of Ms. Balthazar as NPP Mayor chalks up a rare non-UNP victory in the history of Colombo Town Hall politics. After independence there have been only two non-UNP Mayors in Colombo. The first came as a progressive breakthrough when NM Perera became Mayor in 1954. The second came as a comical farce in 2006, when Uvais Mohamed Imitiyas, the leader of an independent group put up by the UNP after its botched up list of candidates had been rejected by the Election Commissioner. Ms. Balthazar is also the City’s second female mayor in quick succession after Rosy Senanayake herself an old school UNPer.
In NM’s Footsteps
News commentaries on Ms. Balthazar’s victory have made mention of the fact that she is the first leftist Mayor of Colombo in 70 years. The first and the last leftist Mayor so far has been Dr. NM Perera, the LSSP leader. NM had been a CMC member from July 1948 and became Mayor on 13 August 1954 after the municipal election on 24 July 1954. A New York Times news report called him the world’s first Trotskyite Mayor, a tongue-in-cheek shot that was characteristic of the Cold War era.
An era that the world badly misses now with an unstoppable Netanyahu and TACO (Trump always chickens out) Trump running amok. In this instance, with Middle East burning, Trump has chickened out to the war schemes of Netanyahu.
Back to Colombo of the 1950s, the LSSP fared well in the LG elections of 1954 including Colombo, a number of Urban Councils and many village councils. In Colombo, NM was accompanied by a strong LSSP contingent that included stalwarts like Bernard Soysa Osmund Jayaratne and a well known architect of the era, J. E. Devapura. Some years ago, Stanley Abeynaike recounted the saga of NM’s Mayorship in the Sunday Observer. Last week, Nandana Weerarathne (Nandana Substack) has recalled the old NM story in the current context.
The initiatives that NM spearheaded as Mayor are worthy of emulation even today. The first order of business was ridding Town Hall of bribery and corruption and implementing a purposeful budget. He took on the private omnibus system within Colombo, replacing it by a public trolley-bus service; and started planning a public bus service for the city and suburban travellers in collaboration with the local authorities of Kolonnawa, Wattala, Dehiwela, Mount-Lavinia and Kotte. City cleanup, slum clearance, small housing schemes, upkeep of rental housing neglected by landlords, and transferring ownership of rental housing to tenants after 30 years of occupancy – were among the progressive measures that were rapidly rolled out during NM’s methodical mayorship.
But all those initiatives of NM riled up the landlords and the private bus owners, and through them the entire UNP government of Prime Minister Kotelawala. Sir John and his cabal were not going to let NM to be the Mayor of Colombo’s even as the country was heading to the general election in 1956. A conspiracy was hatched, and a resolution was passed at an emergency UNP meeting at Sri Kotha, the UNP headquarters, “to remove the Colombo Mayor, Dr. NM Perera.” Even the courts got in on the act to facilitate a resolution at Council against NM as Mayor.
When the resolution to remove NM as Mayor finally came to the floor, Bernard Soysa, Osmund Jayaratne and JE Devapura took turns speaking for hours on end against the resolution. They were hoping to run the clock until the Supreme Court ruling came. But to no avail, and the resolution was passed on October 1st, 1955 by a majority of two votes. One of them was the Communist Party’s Kotahena Member Anthony Marcellus who was brought over to the UNP to vote against NM. Orchestrating the moves was R. Premadasa (father of the current SJB leader) who was brought from outside to oversee matters inside, replacing then Deputy Mayor T. Rudra, who was obliged to resign. All of that in time for the April 1956 election that the UNP lost anyway.
Even the 2006 election of Uvais Mohamed Imitiyas, a political nondescript, as mayor, was the result of the backfiring of a UNP plan to prevent Vasudeva Nanayakkara, another LSSPer, from becoming Mayor. The UNP even got the better of Milinda Moragoda, one time Wickremesinghe confidant, when he chose to make a run for the Mayorship with the support of the Rajapaksas in 2011. UNP fielded its own candidate, AJM Muzammil, who defeated Moragoda and stayed on as Mayor until Rosie Senanayake succeeded him as the next, and now likely the last, UNP Mayor.
So, one can imagine the consternation of Ranil Wickremesinghe in seeing even the last bastion of the UNP’s power legacy being taken away by the upstart NPP. After 1977, through constitutional chicanery and electoral subterfuge the UNP established its supremacy at all levels of government and in all elections. After Chandrika Kumaratunga’s spectacular victories in 1994, the UNP’s electoral superstructure has been steadily dismantled and the only elected body that has survived this debacle is the Colombo Municipality. Until now, that is.
And all of this has been on Ranil Wickremesinghe’s watch. He has been quintessentially a Colombo politician, albeit with an elitist base like JR Jayewardene, unlike the likes of Pieter Keuneman, Bernard Soysa or R. Premadasa who reached out to a broader cross-section of people in the City. Losing Colombo would be the bitterest pill to swallow.
If you are inclined to feel sorry for Mr. Wickremesinghe, save yourself some space to feel good about the future of the City and even the country. Leaving Colombo in the hands of an opportunistically cobbled up SJB-UNP-SLPP alliance would have been both an insult and an injury. The NPP deserved to have one from its ranks as Mayor and it has beaten the UNP in its own game to seal its victory. But having won to govern, will the NPP govern to win – again? That is the question.
by Rajan Philips ✍️
Features
Criminalise war and work tirelessly for peace: Dr. Mahathir Mohamad

Soon to be 100-years ( July 10 th 1925) the two times former Prime Minister of Malaysia’s advice to the world is to “Criminalize War” and work tirelessly for peace.
Q: What is the secret to your healthy happy life?
A: People ask me that question all the time and I say I think its just my good luck. If I have suffered from some kind of fatal disease like cancer, of course life would be different.
I have had heart attacks, and both times I had open heart surgery, but nowadays they don’t open your heart. They use stents. I survived and I recovered and I was able to function. After that I am more careful with what I eat. I keep my weight steady. I do not increase my weight.
In this world, food is the problem. On the one hand you have people who are obese and on the other hand, we have a world that is starving. So, I avoid being obese and eat only very little every day.
Q: What is your advice to the younger generation?
A: My advice is to be active. Active means not only physically active. The brain is an amazing muscle. You need to use it every single day. If you see weight lifters, they have big muscles because they do exercise, You must not become sedentary. Brain must be constantly exercised.
Q: Now that you have retired, what is your day like?
A: I want to take it easy, but most of the time, I come to work almost daily. Usually, people try to retire at 55 or 56. But they must not do that. I keep my body and mind active all the time. I still read, write and do whatever is needed of me.
Q: About the world and with all that is going on around us, what would your advice be to all nations, specially to the nations that are at war?
A: When I stepped down from being Prime Minister, I started a movement to ‘Criminalize War” to make war a crime. There was some support, it took a long time. I believe that any conflict should be resolved. Not through killing each other. You should resolve conflicts through peaceful means like negotiations. That is what we practice here. We are a multinational country, normally there would be many conflicts, but we do not have war in Malaysia. We sit down and talk.
Q: If you had one more opportunity to be Prime Minister of Malaysia, what would you do differently this time?
A: When I stepped down after 22 years, there was still a lot of things to be done. These 22 years were a time of very high tension that came from developed countries. So, at that time, I had to know how things should be done and when things should be done. When I stepped down, unfortunately, my successors were focused on other things. In fact, making money became their priority, so the focus on the country, diminished.
Q: What is the one thing you would like to see happen in your country or in the world as a whole?
A: There are developed countries and there are under developed countries. We want to be a developed country. Developed countries have many assets. For example, economically our people have a fairly good life, our people are involved in activities that contribute to the wellbeing of each other and to other nations. Countries need to help each other, for example in the sciences. There are many areas of research that still need to be done. I would like to see developed countries, reach out to developing countries and form healthy alliances to make each other prosperous.
I have lived a fruitful life. I am happy and I wish to see all nations prosperous and live in peace.
Anusha Rayen, Freenlance Journalist (Formerly ‘The Island Newspaper’ staff member & Parliament reporter) sits for an exclusive interview with former PM of Malaysia Dr. Mahathir Mohamad in Puthrajaya.
Features
Price of Netanyahu’s Iran Offensive

That was brutal, and predicated on years of fabricated deceit. But that is how power operates. Netanyahu is not acting in isolation; he was ushered into this calamity with calculated endorsement from the West. For both Iran and Israel, this is a zero-sum confrontation—a tragic entanglement where ancient antagonisms, contemporary geopolitics, and enduring colonial residues violently intersect. What is most intellectually arresting is the glaring paradox Western powers routinely embrace. When Netanyahu launches a premeditated and unlawful assault on Iran, it is euphemistically labelled as a measure of self-defence. Yet when Vladimir Putin deploys forces into Ukraine, the West decries it as an unprovoked invasion. This hypocrisy in moral reasoning illustrates the incoherence of Western ethical frameworks—marked by selective outrage, selective jurisprudence, and selective memory.
Netanyahu is actively courting American bombardment of Tehran, even venturing so far as to suggest the types of ordnance most suitable for maximum devastation. Trump, meanwhile, hesitates—not over Iran’s fate, but because the ensuing ramifications will inevitably encircle him. This cynical arithmetic typifies the geopolitical stage on which empires perform their cruelties. A week has now passed since Netanyahu’s incursion into Iran—a deliberate campaign tacitly sanctioned by the United States and its constellation of affluent allies, whose modern prosperity is inseparable from centuries of extraction and systemic plunder. War, whether desirable or not, remains the central mechanism by which empires assert dominion, redraw territories, and dismantle resistance. Israel’s open defiance of international law—manifest in its missile barrage on Iranian soil—lays bare an unsettling truth: if global powers truly revered international legal norms, Netanyahu’s actions would face unequivocal denunciation. Instead, one could argue—chillingly—that he affirms history’s most ominous prophecies.
Western media, complicit in sanitising this act of aggression, frames it as an “unprecedented” strike—yet again resorting to euphemism to mask illegality. This was not an improvisational operation; it was the culmination of extensive clandestine preparation by Netanyahu and his ultranationalist Orthodox coalition. Israel’s intelligence apparatus has, over decades, embedded itself within the architecture of Iranian society, executing key figures and orchestrating strategic assassinations. The latest Friday strikes were not merely military engagements—they constituted a coordinated political decapitation, targeting senior officials central to the Iranian state.
Iranian society today endures compounded crises. Their tenacity and national pride remain steadfast, yet they are economically suffocated by Western sanctions, which have induced runaway inflation and scarcity. From first-hand experience in Tehran, Iranians are not consumed by a siege mentality; rather, they display a cautious hospitality that, once trust is earned, transforms into deep generosity—qualities starkly misrepresented in Western discourse. In contrast, Israelis are socialised into a perpetual state of existential fear. “Security” is not merely policy—it is a psychological infrastructure, permeating every aspect of public and private life. Israel’s economy thrives not only through sanctioned trade but through its robust arms industry and cyber-warfare enterprises, often exported under the guise of national expertise. This divergence in societal conditioning is critical: it reflects distinct historical wounds and geopolitical compulsions.
To grasp Israel’s war on Iran, one must situate it within the long arc of Western imperial entrenchment in West Asia. This history is punctuated by covert operations, artificial borders, and a strategy of managed chaos. The 1953 CIA-backed coup in Iran—toppling the democratically elected Prime Minister Mohammad Mossadegh and reinstating the autocratic Shah—is emblematic of this trajectory. For decades, Western powers suppressed indigenous sovereignty while installing compliant strongmen. The 1979 Islamic Revolution was not merely theological upheaval; it was a radical assertion of national agency forged in the crucible of sustained foreign domination. In the revolution’s wake, Iranian society was reconstituted through a deep-rooted collectivism and assertive nationalism that continues to shape its resistance against external coercion.
Viewed through this prism, Netanyahu’s tenure may be remembered as one of the most corrosive in Israel’s history. By fusing religious chauvinism with militaristic expansionism, he has eviscerated Israel’s democratic ethos, transforming “security” into a tool of territorial expropriation and systemic Palestinian disenfranchisement. His escalation against Iran is not merely a tactical error; it is an incitement to regional disintegration. Framed as a crusade for “unconditional surrender,” his belligerence risks igniting a broader conflagration whose consequences will inevitably recoil upon Israel itself. Netanyahu, then, appears less as a strategist than as a provocateur, recklessly agitating the region’s deepest historical and sectarian fissures.
According to Haaretz, an independent Israeli media outlet operating despite a severely censored and often propagandistic Israeli media environment, several prominent progressive Jewish groups were notably absent from the so-called “joint unity statement” backing Israel’s strikes on Iran. These groups contend that while Iran should not acquire nuclear weapons, military action will at best delay the threat and more likely strengthen hardliners. They argue that diplomacy, not bombs, has proven effective in preventing nuclear proliferation—revealing significant divisions within the Jewish community over Netanyahu’s war.
Meanwhile, a report in the Financial Times captures the civil dimension of this confrontation. Despite sustained bombardment, millions of Iranians remain in Tehran. “Trump and Netanyahu say ‘evacuate’ as if they care about our health. How can a city of 10 million evacuate? My husband and I are not going to pave the ground for them. Let them kill us,” Shirin, a private sector employee told the newspaper. Their refusal to flee is not naïveté—it is a visceral affirmation of identity and resistance. The Iranian public consciousness, hardened by decades of war, sanctions, and subterfuge, manifests a collective defiance often misread in the West. The state’s nationalist discourse resonates beyond clerical authority; it channels a cultural memory of resistance against imperial intrusion.
Moreover, the disproportionate risk to civilians is staggering. Israeli operations ostensibly targeting senior military personnel inevitably endanger entire urban populations, as these individuals live and operate within densely populated civilian zones. The echoes of Israel’s operations in Lebanon—where missile strikes against Hezbollah figures claimed high civilian casualties—are unmistakable. The Iranian Health Ministry’s figure of nearly 1,500 casualties reveals the raw human cost beneath the rhetoric of strategic necessity.
This episode also exposes the profound hypocrisy embedded in Western narratives on nuclear proliferation. The International Atomic Energy Agency has repeatedly found no conclusive evidence that Iran is pursuing a nuclear weapon systematically. Yet, Western powers wield this unverified threat as a pretext for military aggression. The contradictory statements from US officials—from intelligence directors denying Iran’s weaponisation efforts to presidents asserting Tehran is “very close” to the bomb—reflect a politicisation of intelligence designed to justify interventionism.
History has shown the futility of liberal interventionist fantasies: that democracy can be air-dropped or imposed through market restructuring. The Arab Spring, once heralded as a democratic revival, instead expedited the collapse of fragile states and exacerbated regional instability. The supposed liberal order in West Asia has devolved into a transactional, militarised regime wherein peace is manufactured, not cultivated.
Netanyahu’s war on Iran is not an anomaly—it is the terminal result of accumulated imperial failures, ideological rigidity, and historical amnesia. It confirms a grim axiom: when utopias collapse, it is always the powerless who bleed. His offensive, cloaked in the pieties of national security, belongs to a longer, darker chronicle—one whose conclusion will define the fate of West Asia and the very contours of justice in our century.
by Nilantha Ilangamuwa ✍️
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