Even when all possible care has been taken, something unexpected may still be found during an operation. This happens especially with emergency operations, when there is not enough time to completely evaluate the situation before operating. However, it can happen with any operation. This means that you need another safeguard. You need to know what might still be found that would make the proposed operation inadvisable or impossible. Ask directly. You need to know how your surgeon would want to deal with each possible situation. Again, ask directly. You have the right to set limits on what you will permit. For example, you may not be prepared to have your breast removed (mastectomy) or to have your bowel ending in an opening on the abdominal wall (colostomy) or to have both ovaries or both testicles removed. Before making a final decision, try to find out what would be likely to happen if you refuse a certain procedure. In other words, try to make a really informed decision when setting your limits. Horrified as you may be at the idea of a colostomy or mastectomy, it is possible that the consequences of not having these procedures could be worse.
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