In the early to mid-20th century, lobotomies were controversially used as a treatment for various mental health conditions, but the selection of 'good' candidates was often influenced more by social biases than by purely medical criteria. Women were disproportionately targeted, especially those who exhibited behaviors deemed socially unacceptable, such as expressing independence, resisting traditional gender roles, or showing emotional distress that went beyond the limited understanding of mental health at the time. For example, daughters who dated against their fathers' wishes or women who resisted housework and conformed poorly to expected domestic roles were sometimes labeled as 'pathological.' Emotional states such as postpartum depression, grief, or being considered 'too emotional' could lead to a lobotomy recommendation. The procedure was sometimes used as a tool to control women's sexuality and behavior, literally cutting away what society at the time viewed as problematic aspects of their personality or emotions. This historical perspective reveals the deep intersection between medicine, gender norms, and social control. It helps modern readers understand the grave ethical failings of lobotomy use, reminding us how mental health treatments have evolved and highlighting the importance of informed consent, patient rights, and more humane, evidence-based care. Acknowledging this dark chapter encourages compassion and vigilance against similar abuses in current mental health practices.