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I have experienced many occasions where potential patients book surgery on their very first visit with me. While I feel slightly flattered by this event, I feel that a time out is usually worthwhile in order to digest the consultation and brochure information. Almost invariably booking surgery on the initial visit results in postponement or cancellation when the person has had time to take many other factors into consideration such as events, people and other obligations as well as the procedure(s). Impulse buying in other situations has fewer consequences (such as unworn shoes in the closet) but aesthetics are more permanent and require more resolve.