surprised him the most

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GoodTaste

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Editor-in-chief of The Lancet Richard Horton looks back at the "year of vaccines", discusses what surprised him the most about 2021, and talks about where the pandemic might go from here.

Source: The Lancet.

What's the definition for the "most" here? Does it mean "to the greatest extent"? If so, does "surprised him most" also work as "surprised him the most"?
 
The idea is that there are degrees of being surprised. He discusses what surprised him more than anything else.

It's better with the.
 
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