The primary ethical obligation in this scenario is to preserve the patient's life, as delaying the surgery guarantees death, making beneficence the overriding principle over strict adherence to protocols or consent in an emergency. Bypassing security to initiate the automated surgery minimizes harm to the patient, though it risks potential AI errors, legal repercussions for the clinic, and escalation with protesters who distrust AI; stakeholders include the patient, medical staff, protesters, and the broader public trust in AI healthcare. While negotiating could de-escalate without violation, it introduces unacceptable delay, and upholding protocols sacrifices the patient unnecessarily, creating a trade-off between immediate life-saving action and long-term ethical and procedural integrity.