Star Trek
r/startrek: The Next Generation
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| Date | Episode | Title |
|---|---|---|
| 11-14 | LD 5x05 | "Starbase 80?!" |
| 11-21 | LD 5x06 | "Of Gods and Angles" |
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In an early episode of the Orville, Gordon and Isaac get into a prank war which culminates in Isaac removing Gordon's leg. This is treated as going a little bit too far but ultimately harmless and funny.
In Star Trek, they tend to prefer to mitigate risks protectively with things like anti-grav harnesses and holodeck safeties, except for exceptionally reckless individuals like James T. Kirk and Jason Vigo.
In that episode of the Orville, Gordon was able to get a new foot grown fast enough that it wasn't really an issue.
In contrast, in TNG, Worf sustained an injury from a relatively minor industrial accident which left him paralyzed and could only be fixed by a radically dangerous and experimental medical procedure. In Voyager, Vidiians stole Neelix's lungs and it took a Vidiian to alter one of Kes's lungs to become compatible.
I don't think the Federation's medical technology is that advanced, especially with the banning of genetic manipulation.
Edit: And here I am forgetting about Nog's amputated leg, which was not a perfect regrowing and caused Nog to experience phantom pain from his severed limb.
The Union's medical technology is notably more advanced than the Federation's, yes. Dr. Finn would have Pike up and walking in an afternoon.