It is wrong to perform a medical procedure without consent.
Dr. Doom recommended a few surgeries be preformed on the patient, but they declined some of them.
Dr. Doom wants the patient to live.
Dr. Doom recommends other treatments for the issues if the patient doesn't want surgery.
Dr. Doom preforms all the surgeries he reccomends anyway.
The patient is willing to try some of the other treatments recommended by the doctor.
Dr. Doom ends up defending against a malpractice lawsuit.