Medicine - doctor ignored stories before start of treatment - it's most unfair (7)
I believe the answer is:
ugliest
'most unfair' is the definition.
Both the definition and answer are superlative adjectives. Maybe you can see a link between them that I can't see?
'medicine doctor ignored stories before start of treatment it's' is the wordplay.
I cannot really see how this works, but
'stories' could be 'lies' (to tell stories can mean to lie) and 'lies' is found within the answer.
'it' could be 't' (abbreviation. e.g. in 'tis) and 't' is present in the answer.
The remaining letters 'ug' is a valid word which might be clued in a way I don't understand.
This may be the basis of the clue (or it may be nonsense).
Can you help me to learn more?
(Other definitions for ugliest that I've seen before include "Worst looking" , "Least pretty" , "most unappealing" , "Most unpleasant" , "superlatively unattractive" .)