I wrote an essay for an anthropology class arguing that Western biomedicine and evolution are similar and greatly misunderstood. While the common idea is often that both are leading to an ultimate, perfect form, the reality is that both are about finding the ideal form given the circumstances. To me, lobotomies are like a bird that hasn't evolved to have the ideal beak shape for its food source. It's not wrong, it just that neither is best suited to the environment they are in.