A town of 700 inhabitants, facing the Pyrenees, Pouyastruc is located 12 km north-east of Tarbes, on the departmental road linking the capital of the Hautes-Pyrénées to Toulouse via Trie-sur-Baïse. A wooded commune covering 1/4 of its surface area, it culminates at an altitude of 375 m, at the level of its water tower, from where one can enjoy a panoramic life. A crest village, on soft spurs, it stretches along its main street, which quickly descends to an alluvial plain where a checkerboard of fields, meadows and forests spreads. It is the capital of the former canton that joined Tournay in the new community of municipalities of Val d'Arros. Among the illustrious characters born in Pouyastruc, we can mention Jean Bazeilhac (1703-1781), known as Brother Cosme or Brother Côme. A surgeon and religious, he invented several instruments to operate on "stones" (kidney stones) and cataracts. He came to practice in Paris and was attached to the Hôtel-Dieu where he already enjoyed a great reputation when he took the religious habit, in 1729, with the monastic order of the Feuillants. He was then named Brother Jean de Saint-Cosme - patron saint of surgeons. He founded a hospice for the poor in Paris at his own expense, where he cared for them himself. He is responsible for the hidden lithotome and sting probe, among other surgical instruments. In 1779 he published a Method of Extracting Stone.

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