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The shocking realism depicted in Thomas Eakins' the gross clinic stems from his experience working with live models and dissecting corpses.

Thomas Eakins' best-known and most ambitious work for Philadelphia is the painting The Gross Clinic, completed in 1875, which spotlighted local physician Samuel David Gross. The scene shows Gross overseeing the surgery and lecturing a class of medical students.

Always a portraitist, Eakins claimed this work as a visual record of everyone in the medical amphitheater. Eakins' mastery of compelling volume, individual portrayal, and psychological strength testify to his academic training, and his mastery of form, depth, and proportion, in a style that has been described as "scientific realism". It reveals an uncompromising desire to depict honest details.

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