Procedural maximalism describes a clinical approach characterized by the routine or premature use of multiple procedures or interventions, based on the assumption that combining treatments yields superior outcomes—regardless of supporting evidence.

Key features:

• “More procedures” are equated with “better care”,
• Driven by technological enthusiasm, institutional culture, or commercial influence,
• Often ignores the principles of parsimony and patient-centered care.

Risks of procedural maximalism:

• Overtreatment and increased complication rates,
• Higher healthcare costs,
• Dilution of evidence quality,
• Loss of clinical clarity and therapeutic restraint.

In essence, it reflects a “do everything” mindset instead of a “do what matters” philosophy.