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DocShop.com Tip: Deciding whether or not the patient trusts the plastic surgeon may depend on a number of factors. The patient may not trust the surgeon if the surgeon does not answer questions accurately or honestly or if the surgeon does not seem to listen. The patient may not trust the plastic surgeon simply because of a gut instinct. Regardless for the reason for the lack of trust, patients who experience this sensation are advised to seek out a skilled and qualified surgeon who they also find to be trustworthy. This is important because open and honest communication is necessary between the patient and the surgeon. A patient who does not trust the surgeon may not be able to express important information, such as desired outcome of the procedure or surgical preferences.