Workshop

Ar, the idea of a maniac killing a surgeon is feasible, but it won't really solve the problem (if you consider it a problem). As you may have noticed, a maniac can win with any of the surgeon factions. For a while, it will simply be advantageous for him to rely on winning with aggressive surgeons – i.e., not to target the surgeon even when he's nearby. But in principle, purely for the case where it's necessary to maintain balance with the help of a maniac, you could give him such an exclusive ability. After all, he still has to find the surgeon, so it won't change the situation much.