The plastic surgeon, a short, blond-gray mustachioed man comes in to tell me he’s headed to the OR and will see me in there. He taps the rail of my bed twice, a gesture I take as doctorly affection, and turns to leave the room. I call after him, “Just remember—think small—like, real small. Like, just get rid of ‘em!” Dr. Haynes reminds me that this breast reduction is not cosmetic surgery.