The Lyudinovskaya Hospital was originally associated with the Lyudinovskaya Mining Plant, but was turned into a surgical hospital serving the nearby communities of the district. Gedroits utilized her Swiss education and battlefield experiences as a basis for bringing it up to modern European standards. She expanded the facility and equipped it with new surgical implements, including white gowns, threads, and gloves. She obtained apparatuses like the D'Arsonval and Tesla high-frequency current instruments and x-ray machines, promoted the use of ether rather than chloroform for anesthesia, and selected special garments for patients and their bed linens, all of which were innovative measures for her time. She also established a pathology and anatomy archive and cooperative agreements with Philip Markowitz Blumenthal's chemical and bacteriological institute on Lubyanka Square in Moscow to improve diagnostics. In addition to her work in the hospital, Gedroits made numerous housecalls, and over a five-year period, reported she had visited 125,363 patients. She received a municipal commendation from the City Council for her merits as a surgeon in 1908. Tsarskoye Selo In 1909, at the invitation of Tsarina Alexandra Feodorovna, Gedroits became the senior resident physician at the Tsarskoye Selo Court Hospital, "with a salary of 2,100 rubles and a state apartment". As the royal household's first female physician and the second-highest-ranking member of the hospital's staff, she headed the Departments of Surgery and Gynecology/Obstetrics, while acting as the attending physician for the royal children. As the only medical facility in Tsarskoye Selo, the Court Hospital functioned as a city hospital, with a surgery, a therapeutic department, and an isolation wing for infectious patients. To ensure that they had reference materials, she wrote a textbook for the royals, Беседы о хирургии для сестер и врачей (Conversations on Surgery for Sisters and Doctors), addressing general surgical problems in laymen's terms. Taking advantage of her position, Gedroits made no attempt to conceal her lesbian inclinations and spoke of herself using masculine verb forms. One biographer, Svetlana Maire, indicated that these manifestations could well have been an attempt to assert her authority as a professional in a male-dominated field. Dressing almost exclusively in men's trousers and suits, she favored a style similar to Feodor Chaliapin's portrait with a beaver hat and a sable fur. She also spoke in a deep-pitched voice and frequently smoked. Besides her appearance, she began seeking the acquaintance and company of literary figures. In her youth, Gedroits