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What can I, as guardian of my elderly father, who suffers from dementia, do when the his hospital specialist is pressing for surgery, yet his family doctor says the risks are too high, and the possible benefits do not outweigh the limited advantages?

You can refuse to give your consent, which is necessary for surgery once you have been appointed guardian over his body. As long as the operation is not urgent, and you have checked out alternatives and are acting in your father's interests, the hospital doctors are not legally entitled to operate , outside of a medical emergency, without your consent.