Build Specialist antipattern

Just reading on TheServerSide an article on the Build Monkey Antipattern:

http://grokandroll.com/Build_Monkey_Antipattern.html

I assume that with the same logic one should also be against specialists in anestetics, in liver surgery, in kidneys surgery, in brain surgery etc and have only one general "do-all" category of surgeons in a hospital.

Someone will scream "ah no but surgery is different". Please explain how - apart that a mistake in surgery costs a human life, while a wrong build process is simply a project which is not delivered on time.

Knowledge is infinite and specialization is surely an evil, but an unavoidable evil. He who believes that everybody should be able to do everything is, evidently, living in an Ivory Tower.