Do you think that a surgeon who does more of some procedure is better than one who does less?  Or is the low volume surgeon better for you because the surgeon can focus on you personally?  Or, does surgeon volume and outcome work like a bathtub curve with improvements seen until a certain point and then, after that, increasing volume leads to worse outcome?  Whatever your take, this interesting opinion piece cites that surgeons need to learn from patient experience and highlights that patients can opt out of helping a surgeon learn...yet that means another patient will eventually fill that role... What do you think about the balance of a surgeon's need to gain skill and patient autonomy / disclosure issues?