If surgery becomes necessary for a paratyphoid fever complication, such as an intestinal perforation, severe bleeding, or bowel obstruction, the procedure is typically performed by a general surgeon. General surgeons are trained to manage acute abdominal emergencies, including those involving the intestines, and they are the specialists most often called upon in these situations. In larger or specialized hospitals, a gastrointestinal (GI) or gastrointestinal and hepatobiliary surgeon may handle the operation, especially if the case is complex or involves significant intestinal damage. However, in most emergency settings—particularly in regional or district hospitals—a general surgeon is the first line of care and fully qualified to perform life-saving abdominal surgeries. After the operation, the patient usually receives continued care from both the surgical and infectious disease teams to manage the infection, prevent complications, and support recovery through antibiotics, fluids, and nutrition.