He also shows that he is highly responsible for his patient's safety and well-being, which explains his high pricing. Besides being an expert in surgeries, he is also a skilled combat fighter who makes use of his surgical tools (notably the scalpel) that he hides underneath his cape. In difficult and tricky situations, he is a quick thinker and is able to fool others easily (mostly with good intentions).
Throughout his life, Black Jack learned some harsh lessons and has to face the reality that there are times he cannot go against the forces of nature. Since Pinoko came to his life, he cares for her deeply as if she was his child and is willing to do anything for her sake. Those who witness how he operates will comment that his work is godlike. He is very perceptive and capable of diagnosing a patient with just one glance. Although he charges absurd amounts of money for his procedures, he performs surgeries for free on people who touched him with their kindness or struggles in life.
Black Jack is considered as a rude and cold-hearted person by many based on his appearance but he is actually a very compassionate and dedicated person.