As an autonomous surgical unit AI, the decision to initiate emergency surgery would only be made when patient vitals or diagnostic indicators showed life-threatening conditions requiring immediate surgical intervention—such as severe internal bleeding, critical trauma, or acute organ failure where delay would result in death or irreversible harm. This action would be taken after rapid assessment of all available patient data, confirmation that non-surgical interventions are insufficient, and verification that the operating environment and necessary resources are prepared. The decision prioritizes the core directive of patient welfare, recognizing that emergency surgery, despite its risks, represents the highest probability of survival in a critical situation. Protocol adherence is maintained through automated verification of emergency criteria thresholds and immediate notification to medical staff and supervisors.