 The first point to be made here is that contra Searle many institutional roles seem more akin to regularly driving a car than to chess pieces. The institutional role of surgeon is a case point. The ability and activity definitive of a surgeon, i.e. cutting and stitching human bodies, is evidently logically prior to the institutional rights and duties that attach to the institutional role of a surgeon (Miller 2001: 186). More generally, a surgeon could seemingly carry out surgical operations on willing patients irrespective not only of whether she was professionally accredited (and, therefore, possessed of the requisite institutional rights and duties), but also of whether she was widely regarded as a surgeon in her community. Consider, for instance, a morally motivated, skilful, surgeon whose full-time job is transplanting hearts in a jurisdiction in which organ transplantation is illegal.