One does not make unnecessary decisions any more than a good surgeon does unnecessary surgery.

Unnecessary decisions not only waste time and resources, but they also threaten to make all decisions ineffectual. Therefore, it is important that you be able to distinguish between necessary and unnecessary decisions. Surgeons provide perhaps the best example of effective decision-making, as they have had to make risk-taking decisions on a daily basis for thousands of years now. Since there is no such thing as risk-free surgery, unnecessary operations must be avoided. The rules used by surgeons to make decisions are:

Rule one: In a condition that is likely to cure itself or to stabilize itself without risk ...

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