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Hello
In my opinion, as long as you're healthy, still have the skills, and remain passionate about your work, there's no such thing as being "too old." Forty years of experience is an invaluable asset that many younger professionals cannot replace.
Especially in outpatient surgery, experience, judgment, and attention to detail are often more important than age. Many medical institutions are currently in dire need of experienced professionals willing to work part-time.
If you still love this job, I think it's absolutely worth trying to return. The worst outcome is simply that someone says "no," but the best outcome might be that you rediscover a career you love. Best of luck!
Chief
I don’t think there’s any harm in trying to return to the job, no matter your age! You’ve clearly got plenty of experience, I say go for it!