Implementing Pearl's $\mathcal{DO}$-Calculus on Quantum Circuits: A Simpson-Type Case Study on NISQ Hardware

Distinguishing correlation from causation is a central challenge in machine intelligence, and Pearl's $\mathcal{DO}$-calculus provides a rigorous symbolic framework for reasoning about interventions. A complementary question is whether such intervention logic can be given \emph{executable semantics} on physical quantum devices. Our approach maps causal networks onto quantum circuits, where nodes are encoded in qubit registers, probabilistic links are implemented by controlled-rotation gates, and interventions are realized by a structural remodeling of the circuit -- a physical analogue of Pearl's ``graph surgery'' that we term \emph{circuit surgery}. We show that, for a family of 3-node confounded treatment models (including a Simpson-type reversal), the post-surgery circuits reproduce exactly the interventional distributions prescribed by the corresponding classical $\mathcal{DO}$-calculus. We then demonstrate a proof-of-principle experimental realization on an IonQ Aria trapped-ion processor and a 10-qubit synthetic healthcare model, observing close agreement between hardware estimates and classical baselines under realistic noise. We do not claim quantum speedup; instead, our contribution is to establish a concrete pathway by which causal graphs and Pearl-style interventions can be represented, executed, and empirically tested within the formalism of quantum circuits.