Right, because everyone knows a surgeon’s competency is 1-1 correlated with their notoriety

Any surgeon I do not know by-name is one that cannot be trusted, so the one and only surgeon I know will be performing my surgery regardless of if he’s piss-drunk and coked out.

Never-mind my surgeon introducing me to a new surgeon he recommends; nope, fuck off - he will perform my surgery or we will both die.