The best answer is, barbers.
During the Renaissance, and even during the Middle Ages, barbers were known to provide medical skills to wealthy, elite and ruling families of Europe. This seems unusual in contemporary periods; however, barbers were skilled with a sharp blade, making him a good candidate for surgery. Examples of their medical care outside of the ruling classes can be seen in the knightly jousting tournaments, where barbers were expected to care for those injured during the tournament games.