Heh - this may be a little off the mark of your question, but it speaks to parts of it.
The first surgeon that I visited sent me to a psychologist to make certain that I was getting the implants for "the right reasons." I thought that was kind of strange, seeing as how I'm not going to go Joya-sized. I can see, though, that that could be a valid concern, although I don't understand why a surgeon would give a potential client the opportunity to not give him her money.
I have found though, for the most part, from talking to other girls, that if you have the money, the surgeon doesn't have much to say.