Person wants (to) Headache. Person wants (to) Autonomy. Autonomy is a synonym of Sovereignty. 
Surgery is related to Operation. Operation is related to Record. Record is related to Format. 
Headache <--Desires-- Person --Desires--> Autonomy <--Synonym--> Sovereignty 
Surgery <--RelatedTo--> Operation <--RelatedTo--> Record <--RelatedTo--> Format 