Alfred Pennyworth has also provided first aid up to and including suturing wounds and removing bullets, as well as occasional tactical support. He is also able to perform arthroscopy and other advanced medical procedures, thus limiting, if not eliminating, the need for hospital medical treatment even in the face of grievous injuries, helping to maintain Batman's secret identity by ensuring that Bruce Wayne has no need to visit hospitals for wounds inflicted as Batman. Nevertheless, Batman still requires professional medical treatment when Bane breaks his back ("") and Hush's machinations result in his suffering a skull fracture (""). On these occasions, Alfred
Alfred Pennyworth lost his right leg in the process. It is also implied that both he and Thomas are keeping a traumatic secret. Discharged back to his home in London, Alfred received a gift from Thomas in the form of a very expensive prosthetic leg. He later traveled to Gotham City to visit his friend and found himself arriving on the night of a campaign party for Thomas' bid at the mayoral office. Afraid for his friend after hearing of the death threats on his life, Alfred tried to talk Thomas out of going to the movies with his wife and son,