star trek - Why can't surgery be done by transporter?

In the era of Star Trek: The Next Generation (or even earlier), why isn't invasive surgery performed using the transporter? In theory, one could:

dematerialize an individual and store the pattern in the buffer

perform "surgery" by altering the pattern appropriately

rematerialize the individual

From an in-universe point of view, why is this not the preferred method of surgical intervention? Is it the challenge of altering the pattern?

It would be most desirable to have an answer that (a) explains why this approach to surgery cannot be done or — if it can — then why it is not done very often in TNG; and (b) gives examples of when it has been done (if such examples exist).

Differentiation: The question Why aren't transporters used for medical purposes? is in a similar vein. However, that question is about restoring back to a previous (healthier) pattern. The present question is about directly altering a single copy of a pattern, without using any data from previous patterns.

Comments

Did the gatekeeper and the keymaster get intimate in Ghostbusters?

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warhammer40k - What evidence supposedly supports Tau as related to the Necrontyr?

I've heard of rumours saying that the Tau from Warhammer 40K are in fact the Necrontyr. Is there anything that supports this statement, in WH40K canon? I just found this, on 1d4 chan 1 : Helping Necrons? Or are they Necrontyr descendants? An often overlooked issue is that Tau have no warp signatures, just like Necrons, hate Warpspawns and Warp in general, just like Necrons, have the exact same skull shape,stature and short lives, and the overwhelming need for Technology and beam weapons, JUST LIKE NECRONS. GW may have planned a race that simply prepares a pacified, multiracial galaxy for Necrons to feast upon, supported by Ethereals that have a C'tan phase blade. Then there is a reference of "dark seed in east" by the Deceiver, so the tricky C'tan might give Tzeentch the finger in the JUST AS PLANNED competition. Or maybe GW just has so little creativity that they simply made a new civ conforming to an Old One's standards without knowing it. Is this the connec...

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