On November 20, 1941, a twenty-three-year-old woman was brought to George Washington University Hospital, strapped to an operating table, and kept conscious throughout the procedure that would end her life as she had known it. Surgeons drilled holes in her skull, inserted metal spatulas, and severed the connections of her prefrontal cortex while asking her to sing "God Bless America" and count backward from one hundred. When she fell silent and her words became nonsense, they stopped cutting. Her father had authorized the procedure. Her mother had not been told. Rosemary herself did not understand what was happening. Name Kept from the Record reconstructs the full history of Rosemary Kennedy's lobotomy — not merely as a family tragedy, but as the intersection of three distinct systems of power, each operating at its most dangerous: medical hubris, patriarchal legal authority, and dynastic political ambition. The medical dimension centers on Dr. Walter Freeman and Dr. James Watts, the George Washington University surgeons who performed the operation despite the American Medical Association's formal position that spring that lobotomies remained too experimental and their side effects too severe to be performed on live patients. Freeman, who would go on to perform over 3,400 lobotomies during his career — many of them on women, many of them against patient will — had diagnosed Rosemary with "agitated depression" and promised her father a compliant, contented daughter. The American Medical Association's warning was available. Joseph Kennedy had the resources to find it. He proceeded anyway.