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Bread and butter generally means "easy cases." Meaning no neurosurgery cases, no cardiac or lung cases, etc.. It means mostly elective, same day surgery types of cases on healthy patients.....hope this helps...
"Bread and Butter" is a descriptive term for routine cases such as general surgery (lap choles, hernias, colon surgery), urology, ortho etc... B&B do not include: open heart, trauma, OB, Neuro and complicated pediatrics.