Based on your reactions I looked into this a bit more. Here are a few interesting tidbits:
First Human Head Transplantation: Surgically Challenging, Ethically Controversial and Historically Tempting – an Experimental Endeavor or a Scientific Landmark?
According to many, head transplantation is considered to be an extraordinary and impossible surgical procedure. However, nowadays, relevant literature and recent advances suggest that the first human head transplantation might be feasible. This innovative surgery promises a life-saving procedure to individuals who suffer from a terminal disease, but whose head and brain are healthy. Recently, the first cephalosomatic anastomosis in a human model was successfully performed, confirming the surgical feasibility of the procedure, but still not the real outcome. Skepticism and several considerations, including surgical, ethical and psychosocial issues, have emerged in the scientific community since this imaginary procedure seems to be more feasible than ever before.
The goal of the first human head transplantation is to provide a life-saving procedure to patients who are terminally ill without any indication of pathology concerning the head or the brain, on the background that there is no other treatment (2).
We agree that the first attempt should be performed in a young person suffering from a terminal disease which leaves the brain and its functions intact such as progressive muscular dystrophies.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6511668/
The head anastomosis venture Project outline for the first human head transplantation with spinal linkage
Several conditions would qualify… . White[29] pointed to tetraplegics, who show a tendency to multi-organ failure.
In truth, the impeller of White’s study was a possible cure for intractable cancer without brain metastases.
I believe that the first patient should be someone, probably young, suffering from a condition leaving the brain and mind intact while devastating the body, for instance, but by no means exclusively, progressive muscular dystrophies or even several genetic and metabolic disorders of youth.
These are a source of huge suffering, with no cure at hand.
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I have not addressed the ethical aspects of HEAVEN. In Thomas Mann’s “The Transposed Heads,” two friends, the intellectual Shridaman and the earthy Nanda, behead themselves. Magically, their severed heads are restored – but to the wrong body, and Shridaman’s wife, Sita, is unable to decide which combination represents her real husband. The story is further complicated by the fact that Sita happens to be in love with both men. This short story highlights the ethical dilemma that must be faced: The HEAVEN created “chimera” would carry the mind of the recipient but, should he or she reproduce, the offspring would carry the genetic inheritance of the donor.
However, it is equally clear that horrible conditions without a hint of hope of improvement cannot be relegated to the dark corner of medicine. This paper lays out the groundwork for the first successful human head transplant.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3821155/
Surgical, ethical, and psychosocial considerations in human head transplantation
Transplanting a head and brain is perhaps the final frontier of organ transplantation. The goal of body-to-head transplantation (BHT) is to sustain the life of individuals who suffer from terminal disease, but whose head and brain are healthy. Ideally BHT could provide a lifesaving treatment for several conditions where none currently exists.
Technology and knowledge push the limits of both medicine and society’s ability to process it. In the contemporary world, change comes rapidly, and although technology and culture advance together in a series of mutually informing leaps, individuals and social groups who are more distant from innovations are often left to their own devices and to numerous communication media to make sense of those changes.
This social dynamic is clear in transplantation medicine. The public reaction to the first kidney transplant in 1954 is widely known. Many demonized Joseph Murray as “playing God” and violating the rules of both nature and the divine.
A similarly negative reaction occurred after the first heart transplant and 50 years later in discussions leading to the first human hand and face transplants.
Joseph Murray later received the nobel prize and is today seen as one of the giant in medicine and human health impact
First, head transplantation, when performed in patients with terminal conditions but intact brain function such as multiple organ failure in ALS … would be life saving.
In the cases of early organ (especially kidney and heart) and hand and face transplantation, public criticism abated after the patient outcomes proved successful. Research addressing the ethics of face transplantation, after the first procedure was performed in 2005, changed its tenor, shifting from tentativeness and doubt to general approval and ethical tolerability [32]. It concluded that face transplantation became accepted as a reasonable and necessary option for the most severe cases of facial disfigurement.
The main reasons it seems that ethicists are hesitant about body-head transplants (BHT) is that they are assuming that the body would come from a brain dead organ donor - where more lives could be saved from multiple organs going to different recipients
Where one body could save one life per BHT, the same donor body could save and enhance 10 to 15 lives through multiple organ (pancreas, lung, intestines, liver, heart, kidney, hands, and face) and tissue (cornea, bone, tendons, heart valves, veins, and skin) donations. On these grounds, BHT could be accused of failing to address current medical needs, given the large number of patients on organ and tissue waiting lists.
That whole argument disapears if we can manufacture/grow new bodies though
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5490488/