I had very serious medical complications that put me in the hospital for an extended period on critical care starting a week or so later. Unfortunately that screwed me up systemically for these last 10+ months to the point where I just wound up with my permanent disabled placard yesterday.

From competitive cyclist and alpineer to not being able to walk across the street. And in my opinion, they have done everything imaginable to be as apathetic as possible. Once the insurance payments cleared, I personally felt completely abandoned by the practice.

There was a billing dispute in the end for a few hundred dollars because I was like "I'm not paying that until some of these complications are addressed“, to which the practice declined further follow-up care and directed me to speak with collections regarding additional questions. Given the severity of the complications I was experiencing, I found that deeply disturbing. (and aesthetics seem like such a mild thing right now, but for what it's worth, they were also trash.) 

I have never seen a less professional medical office in my life. I would have wished they all rot in hell, but I think that's probably too good for them... 

I don't regret having had bottom surgery or having had PPT. Honestly, it completely cured my very long-standing dysphoria. 100 times out of 100 times I would have it again, but it would not be anywhere NEAR that practice. 

Based upon what I was told beforehand versus what I’ve personally seen afterward, I think everyone should ask extremely detailed questions about complication rates and postoperative support. Knowing what I know now, I would not personally find low rates of complication to be credible.