September 3, 2026- by Steven Greer, MD
I was researching some news related to Flock and my federal case when I stumbled up a bizarre murder trial in Florida. Florida Man and plastic surgeon Tomasz Roman Kosowski was 44 years old when he was arrested in March 2023 for first-degree murder. He allegedly killed a lawyer opposing him in a civil case.
Born in Albuquerque, New Mexico, Dr. Kosowski completed an extensive academic and medical training program before practicing in Florida. He earned three undergraduate and graduate degrees from the University of New Mexico, including a Bachelor of Music in Classical Guitar Performance, a Bachelor of Science in Biochemistry, and a Master of Science in Biomedical Sciences. In 2007, he graduated with a dual MD/MBA degree from Dartmouth Medical School and the Tuck School of Business, where his peers elected him medical school class president.
He then completed a six-year integrated residency in general and plastic surgery at Dartmouth-Hitchcock Medical Center in 2014. Between 2014 and 2016, Kosowski finished three postgraduate fellowships specializing in reconstructive breast surgery at Memorial Sloan-Kettering Cancer Center in New York, advanced fat grafting at the Miami Breast Center, and aesthetic facial surgery at Mark Codner Plastic Surgery in Atlanta.
The legal dispute that preceded his arrest began after Kosowski left his position at the Laufer Institute of Plastic Surgery. Kosowski initially hired a prominent law firm to file a multi-million dollar civil lawsuit against the clinic’s management, alleging that an office administrator intentionally failed to file insurance claims for his patients, which severely reduced his personal income and damaged his professional reputation. Attorney Steven Cozzi was retained to represent the clinic and its employees. Cozzi filed a series of highly successful Motions to Dismiss and Motions to Strike, which legally stripped away major portions of Kosowski’s financial claims and restricted what he was allowed to argue in court. This systematic dismantling of the lawsuit created a prolonged, costly, and highly contentious civil litigation process.
As the case dragged on, Kosowski grew intensely hostile and impatient with standard legal procedures. Believing his Ivy League MD/MBA background made him more capable of understanding medical billing law than his own counsel, and furious when his attorneys refused to use aggressive, ethically questionable tactics he demanded, Kosowski fired them and took over the case pro se.
Kosowski shifted his obsession onto Cozzi personally, and investigators later discovered evidence that he had begun monitoring the lawyer outside of court, which included logging employee license plates and entering the law firm’s building to map the floor plan.
On March 21, 2023, Kosowski and Cozzi were scheduled to participate in a 10:30 AM telephone court hearing regarding the billing lawsuit. Security footage from the law firm’s Largo office showed Kosowski entering the building earlier that morning carrying a box and a utility cart. Cozzi arrived shortly after, but disappeared after entering an office restroom.
Forensic investigators later used specialized chemical reagents to reveal a significant volume of Cozzi’s blood beneath the restroom floorboards, despite attempts to clean the scene.
Kosowski dialed into the scheduled court hearing from his mobile phone while sitting in his truck outside the building; Cozzi never joined the call.
Video later showed Kosowski loading a heavy object wrapped in a red blanket into the bed of his gray Toyota Tundra.
Kosowski exhibited an erratic contradiction in planning, focusing heavily on details he could physically control while suffering from a massive overconfidence bias that blinded him to regional automated surveillance. He attempted to evade police tracking by driving an unregistered vehicle equipped with a mechanical license plate-flipping device controlled by a toggle switch inside the cabin, not realizing his car was being filmed every mile he drove.
Flock cameras took high-resolution overhead images of a vehicle’s body. His license plate gadget flipper achieved nothing. A Flock camera near Tarpon Springs captured crisp snapshots of the gray Tundra’s open bed, explicitly documenting the utility cart and a contouring red blanket that outlined the clear shape of a human body.
Later that afternoon, Flock cameras recorded Kosowski driving a red Toyota Corolla south down the highway. By combining the Flock reader data with mobile phone tower pings, investigators mapped a 300-mile route leading directly to a remote section of the Florida Everglades, identifying the area where he is believed to have disposed of Cozzi’s remains.
Again, the inconsistencies are bizarre. A smart man did not realize that carrying a cell phone would allow him the be tracked as well?
When police intercepted Kosowski days later, a search of his car proved he was not financially depleted; alongside U.S. and Polish passports and $280,000 in cash, the vehicle contained a ballistic vest stained with Cozzi’s DNA, ski masks, duct tape, brass knuckles, a Taser, police patches, a supply of the surgical paralyzing agent succinylcholine, and pre-loaded syringes of sedatives, indicating he was preparing to immediately flee the country to Poland.
Why did he not get rid of this evidence?
Kosowski’s capital murder trial is scheduled to begin on September 14, 2026, before Pinellas County Judge Joseph Bulone. After cycling through four separate legal teams over a two-year period due to undisclosed conflicts of interest, Kosowski dismissed his court-appointed public defenders to represent himself pro se. Because capital defense attorneys are bound by strict ethical rules, they were repeatedly forced to withdraw when Kosowski demanded defense strategies that were illegal, fraudulent, or entirely unviable. Frustrated that no lawyer would present his fabricated narratives or execute his personal strategies, he invoked his Sixth Amendment right to self-representation.
He has signed an official legal waiver forfeiting his constitutional right to a jury trial for both the guilt phase and the penalty phase of the proceedings. As a result, Judge Bulone will serve as the sole finder of fact to determine guilt or innocence. Because the penalty jury was also waived, no jurors will review mitigating evidence; if convicted of first-degree murder, the determination between a sentence of life imprisonment or the death penalty will rest entirely with the judge, bypassing the traditional requirement for a collective jury recommendation.
What is unexplained to me is why this smart man, clearly not mentally insane for most of his life, not broke, not facing some divorce proceeding or prosecution for crimes, unnecessarily started a pro se civil case, and then killed a lawyer. His crime was riddled with mistakes.
This all took place near Tampa. I suspect that he got caught up in cocaine and drugs. His actions are those of a paranoid man. Who knows.
Over the decades, I have watched as numerous plastic surgeons with whom I have worked or knew of get into scandalous trouble like this. Brad Jacobs, for example, was a felon on the run and has now disappeared. He got involved in meth and coke.
Cosmetic surgery is a profession that attracts narcissists and nut jobs. This is why transgender mutilation has been allowed to proceed without any surgeons stopping it.
For my part, I was doing good work in wound healing, etc. I find it funny to see the profession crumble after I left it. I am now leading the way to stop gender mutilation procedures. Stay tuned.