Everyone is niave and the risk of showing off more of my niavety...
As Alex Baldwin said in the movie Gelngarry Glenross, "Nice guy?? I don't give a F&%$"
Imagine Dr. H and Dr. T. and two aspects of
HT surgery
Excising the strip
Dr. H cuts extremely slowly and purposfully, attempting to avoid transection and as the tech keeps tension on the adjoining edges of the strip he starts the closure on two levels, by suturing the underlying tissue first - so as he goes so that the strip is being closed. The excision is slow and takes maybe 20 minutes or more
Dr. T
Cuts the strip in one movement like he he is chopping up a piece of steak and hungry to eat it. The sides are roughly squeezed together, the skins buckles, the patient is aware of the uneven pressure and before he knows it the staples are in. The whole excision and closure lasts a minute.
Creating the reipient sites
Dr. H
The doctor stands around the patient at different angles whilst creating the incisions, sometimes kneeling to look up to get a better sense of these angles.
Dr. T
Lets's a designated tech do the job, coming out of his office for check-ups and patient re-assurance. The tech stands high above and behind the patient, in one position, and creates the sites with a downward movement. THe angles are a non-issue, no matter what the patient says, she has a way of doing it and that's the way it will be done, because she's been trained that way.
My imaginings ciome from a long time ago and things change.
Good luck with everything..I think I can undersatnd some of the disincentives for not going OS..not the least that you have to explain why the ..you are going in the first place