Surgery days are always the most fun. I start at the crack of dawn with the excitement and anticipation of my day. I touch base with my surgery staff and anesthesiologist to make sure all the equipment I need is ready and they all know the plan – positioning, any important details about the patient and the case, and post op plan. The patient is marked and every detail of the procedure is reviewed. I go over post op and medication instructions again and make sure they have their prescriptions, supplies, and that their caregiver understands what to do. Today I performed a labiaplasty with clitoral hood reduction and then a breast augmentation with a full breast lift. I try not to do more than two cases a day so each patient gets the proper attention, energy, and concierge care that they deserve. I perform every step of the surgery myself and pay attention to every last detail – the way the compression boots are placed, that the patient is warmed with a heating blanket, the way the IV is put in, the anesthesia meds especially for anti nausea and pain so my patients are comfortable when they wake up, to the prep, the way the foley is placed, the way the elbows are padded and even measure to make sure the arms on the arm boards are placed exactly the same (for breast cases) and the legs are bent and in the stirrups completely symmetric (for labiaplasty). I do not like music or chatter in the OR because I like to have everyone focused and concentrating on the patient. I’m serious, OCD, and insanely meticulous in surgery – but I do so because plastic surgery and every last detail is my passion and I treat every patient the way I would if it were my best friend or my mom on that table.