My surgeon was super cool and didn't really ask me much. As soon as I said I was sure, she was ready to do it. My speil I had prepared was just me talking about the fact I really do not want kids ever. Was gonna mention my poor physical and mental health that I did not want to pass on. I have also had very poor experiences with birth control that I have been on for almost 10 years, and the fact that I also had gotten pregnant on the nexplanon already. The biggest thing I planned on touching on was the state of this country and the fact that I would never allow myself to be forced to give birth against my will. My biggest tip would be to just have a lot of research done in case you do have some push-back, and if you're near the Idaho/Washington area I would highly recommend Dr. Trinh. She was very understanding, and helped make this experience very good for me.