--- title: "Meaning & Key Takeaway of: I now turn down patients who want an…" description: "\"I now turn down patients who want an operation but they will have very little gain from it.\" — Terry Dubrow" image: "https://sms4smile.com/quotes/i/9ae/terry-dubrow-7477_gain_i-now-turn-down-patients-who-want-an-ope_67904.jpg" --- # I now turn down patients who want an operation but they… ![“I now turn down patients who want an operation but they will have very little gain from it.” quote by Terry Dubrow](https://sms4smile.com/quotes/i/9ae/terry-dubrow-7477_gain_i-now-turn-down-patients-who-want-an-ope_67904.jpg) [Download](https://sms4smile.com/quotes/i/9ae/terry-dubrow-7477_gain_i-now-turn-down-patients-who-want-an-ope_67904.jpg) [Open image](https://sms4smile.com/quotes/i/9ae/terry-dubrow-7477_gain_i-now-turn-down-patients-who-want-an-ope_67904.jpg) > “I now turn down patients who want an operation but they will have very little gain from it.” [Terry Dubrow](https://sms4smile.com/quotes/author/terry-dubrow/) ## About This Quote This interpretation was drafted with AI assistance. It is one reading of the quote, not the author's own explanation. The speaker declines surgeries when expected benefits are minimal, prioritizing patient welfare over procedural volume. **In simple terms:** Prioritize benefit over intervention. Key Takeaway Avoid low-gain procedures. Themes medical ethics patient autonomy risk-benefit analysis clinical decision-making resource stewardship Mood thoughtful cautious Type advice clinical observation When to use this quote - preoperative evaluation - patient counseling - hospital policy meetings - insurance review Key Concepts benefit assessment informed consent clinical judgment Practical Applications - guideline development - shared decision-making tools Questions to Reflect On - How do you balance patient expectations with clinical reality? - What criteria define 'very little gain'? ★ ★ ★ ★ ★ No ratings yet [Gain](https://sms4smile.com/quotes/about/gain/) [Little Gain](https://sms4smile.com/quotes/about/little-gain-900070/) [Now](https://sms4smile.com/quotes/about/now/) [Operation](https://sms4smile.com/quotes/about/operation/) [Patience](https://sms4smile.com/quotes/about/patience/) [Patients](https://sms4smile.com/quotes/about/patients/) [Patients Want](https://sms4smile.com/quotes/about/patients-want-900068/) [Turn Patients](https://sms4smile.com/quotes/about/turn-patients-900069/) [Want Operation](https://sms4smile.com/quotes/about/want-operation-900071/) [Who](https://sms4smile.com/quotes/about/who/) [Will](https://sms4smile.com/quotes/about/will/) ## Related quotes > [Patients know what patients want to know.](https://sms4smile.com/quotes/dave-debronkart/patients-know-what-patients-want-to-know/) [Dave deBronkart](https://sms4smile.com/quotes/author/dave-debronkart/) > [“Relatives and patients also want something to be done, rather than ‘nothing’ (which is how they perceive non-operative treatment).”](https://sms4smile.com/quotes/ian-harris/relatives-and-patients-also-want-something-to-be-done-rather-than/) [Ian Harris](https://sms4smile.com/quotes/author/ian-harris/) > [Patients want to be seen as people. For me, the person's life comes first; the disease is simply one aspect of it, which I…](https://sms4smile.com/quotes/bernie-siegel/patients-want-to-be-seen-as-people-for-me-the-person-s-life-comes/) [Bernie Siegel](https://sms4smile.com/quotes/author/bernie-siegel/) > [I'm not the typical doctor that gives patients what they want. I don't do that. I try to give them what I want as…](https://sms4smile.com/quotes/paul-nassif/i-m-not-the-typical-doctor-that-gives-patients-what-they-want-i-don-t/) [Paul Nassif](https://sms4smile.com/quotes/author/paul-nassif/) > [There's some experiences you can't get in Congress. You don't learn what it's like to turn patients away because they're uninsured, or be passed…](https://sms4smile.com/quotes/cori-bush/there-s-some-experiences-you-can-t-get-in-congress-you-don-t-learn/) [Cori Bush](https://sms4smile.com/quotes/author/cori-bush/) > [Being satisfied with little, you can gain much. Seeking much you will go astray. The wise heeds this precept. If it could be so…](https://sms4smile.com/quotes/laozi/being-satisfied-with-little-you-can-gain-much-seeking-much-you-will/) [Laozi](https://sms4smile.com/quotes/author/laozi/) > [With the little you have the more you will gain.](https://sms4smile.com/quotes/jeremy-limn/with-the-little-you-have-the-more-you-will-gain/) [Jeremy Limn](https://sms4smile.com/quotes/author/jeremy-limn/) > [By persisting in your path, though you forfeit the little, you gain the great.](https://sms4smile.com/quotes/ralph-waldo-emerson/by-persisting-in-your-path-though-you-forfeit-the-little-you-gain-the/) [Ralph Waldo Emerson](https://sms4smile.com/quotes/author/ralph-waldo-emerson/) > [“It ought to be plain how little you gain by getting excited and vexed. You'll always be late for the previous train, and always…](https://sms4smile.com/quotes/piet-hein/it-ought-to-be-plain-how-little-you-gain-by-getting-excited-and-vexed/) [Piet Hein](https://sms4smile.com/quotes/author/piet-hein/) > [What patients want is not rocket science, which is really unfortunate because if it were rocket science, we would be doing it. We are…](https://sms4smile.com/quotes/laura-gilpin/what-patients-want-is-not-rocket-science-which-is-really-unfortunate/) [Laura Gilpin](https://sms4smile.com/quotes/author/laura-gilpin/) > [The doctor will persist in laboring under the delusion that patients want common sense instead of magic.](https://sms4smile.com/quotes/rae-foley/the-doctor-will-persist-in-laboring-under-the-delusion-that-patients/) [Rae Foley](https://sms4smile.com/quotes/author/rae-foley/) > [Everyone is filtering their selfies to make them look perfect. We're seeing it more and more in my clinic - patients want to look…](https://sms4smile.com/quotes/paul-nassif/everyone-is-filtering-their-selfies-to-make-them-look-perfect-we-re/) [Paul Nassif](https://sms4smile.com/quotes/author/paul-nassif/) > [The therapist does not treat patients by simply giving them another set of beliefs. He or she tries to help them see which kinds…](https://sms4smile.com/quotes/nhat-hanh/the-therapist-does-not-treat-patients-by-simply-giving-them-another/) [Nhat Hanh](https://sms4smile.com/quotes/author/nhat-hanh/) > [“Our principal claim here is that patients and doctors should be free to make their own agreements about that right. If patients want to…](https://sms4smile.com/quotes/richard-h-thaler/our-principal-claim-here-is-that-patients-and-doctors-should-be-free/) [Richard H. Thaler](https://sms4smile.com/quotes/author/richard-h-thaler/) > [I don't think there's an operation for a cosmetic change that is worth taking the risk when the risk is too high.](https://sms4smile.com/quotes/terry-dubrow/i-don-t-think-there-s-an-operation-for-a-cosmetic-change-that-is/) [Terry Dubrow](https://sms4smile.com/quotes/author/terry-dubrow/) ## More by Terry Dubrow > [One thing that is super, super important - as much as possible - you have to treat your spouse like you're still dating them.](https://sms4smile.com/quotes/terry-dubrow/one-thing-that-is-super-super-important-as-much-as-possible-you-have/) [Terry Dubrow](https://sms4smile.com/quotes/author/terry-dubrow/) > [When you eat frequently, you're conditioning the satiety centers that tell you when to eat.](https://sms4smile.com/quotes/terry-dubrow/when-you-eat-frequently-you-re-conditioning-the-satiety-centers-that/) [Terry Dubrow](https://sms4smile.com/quotes/author/terry-dubrow/) > [I mean, you start to think about it, particularly when you get a little older. And, you know, a dentist shouldn't have bad teeth.…](https://sms4smile.com/quotes/terry-dubrow/i-mean-you-start-to-think-about-it-particularly-when-you-get-a-little/) [Terry Dubrow](https://sms4smile.com/quotes/author/terry-dubrow/) > [Botched' makes people think twice.](https://sms4smile.com/quotes/terry-dubrow/botched-makes-people-think-twice/) [Terry Dubrow](https://sms4smile.com/quotes/author/terry-dubrow/) > [The 'in general' for an injury is R.I.C.E.: rest, ice, compression, elevation.](https://sms4smile.com/quotes/terry-dubrow/the-in-general-for-an-injury-is-r-i-c-e-rest-ice-compression-elevation/) [Terry Dubrow](https://sms4smile.com/quotes/author/terry-dubrow/) > [We've done every kind of non-invasive plastic surgery rejuvenation you can possibly try.](https://sms4smile.com/quotes/terry-dubrow/we-ve-done-every-kind-of-non-invasive-plastic-surgery-rejuvenation/) [Terry Dubrow](https://sms4smile.com/quotes/author/terry-dubrow/) > [We lived in a two-bedroom apartment, and I shared a room with Kevin, who was three years older than me. I had a little…](https://sms4smile.com/quotes/terry-dubrow/we-lived-in-a-two-bedroom-apartment-and-i-shared-a-room-with-kevin/) [Terry Dubrow](https://sms4smile.com/quotes/author/terry-dubrow/) > [A nose job at the age of 12 is just too early. The nose hasn't grown enough, it's very unclear where it's going and…](https://sms4smile.com/quotes/terry-dubrow/a-nose-job-at-the-age-of-12-is-just-too-early-the-nose-hasn-t-grown/) [Terry Dubrow](https://sms4smile.com/quotes/author/terry-dubrow/) > [We are constantly being showered by little blood clots, but if you have PFO and a little blood clot gets to your brain, it…](https://sms4smile.com/quotes/terry-dubrow/we-are-constantly-being-showered-by-little-blood-clots-but-if-you/) [Terry Dubrow](https://sms4smile.com/quotes/author/terry-dubrow/) > [I had a woman who couldn't work, couldn't get a job, because she was so disabled by her plastic surgery. Fourteen different plastic surgeons…](https://sms4smile.com/quotes/terry-dubrow/i-had-a-woman-who-couldn-t-work-couldn-t-get-a-job-because-she-was-so/) [Terry Dubrow](https://sms4smile.com/quotes/author/terry-dubrow/) > [You have to learn how to fight. That's a really important part of continuing on in a healthy relationship, to realize it's natural to…](https://sms4smile.com/quotes/terry-dubrow/you-have-to-learn-how-to-fight-that-s-a-really-important-part-of/) [Terry Dubrow](https://sms4smile.com/quotes/author/terry-dubrow/) > [I'm gonna say Kylie, to me she's the new Marilyn Monroe. She is the needle mover of plastic surgery, if she does something, it…](https://sms4smile.com/quotes/terry-dubrow/i-m-gonna-say-kylie-to-me-she-s-the-new-marilyn-monroe-she-is-the/) [Terry Dubrow](https://sms4smile.com/quotes/author/terry-dubrow/) > [People have to stop making people feel bad about being on these drugs. Stop Ozempic shaming because it's not nice.](https://sms4smile.com/quotes/terry-dubrow/people-have-to-stop-making-people-feel-bad-about-being-on-these-drugs/) [Terry Dubrow](https://sms4smile.com/quotes/author/terry-dubrow/) > [Plastic surgery is a business. We need to sell you expensive procedures. But it's often better to do less invasive procedures. You will mostly…](https://sms4smile.com/quotes/terry-dubrow/plastic-surgery-is-a-business-we-need-to-sell-you-expensive/) [Terry Dubrow](https://sms4smile.com/quotes/author/terry-dubrow/) > [Basically, we're giving everyone who's interested in looking their best and feeling their best all the best beauty secrets you can find anywhere on…](https://sms4smile.com/quotes/terry-dubrow/basically-we-re-giving-everyone-who-s-interested-in-looking-their/) [Terry Dubrow](https://sms4smile.com/quotes/author/terry-dubrow/) [Explore all 91 Terry Dubrow quotes ](https://sms4smile.com/quotes/author/terry-dubrow/) ## More Gain quotes > [I believe confusion is good. Worldwide market leaders gain when there is confusion in the market.](https://sms4smile.com/quotes/subhash-chandra/i-believe-confusion-is-good-worldwide-market-leaders-gain-when-there/) [Subhash Chandra](https://sms4smile.com/quotes/author/subhash-chandra/) > [Some lose yet gain, others gain and yet lose](https://sms4smile.com/quotes/anonymous/some-lose-yet-gain-others-gain-and-yet-lose/) [Anonymous](https://sms4smile.com/quotes/author/anonymous/) > [“I believe that our world was created with a sense of order. For every loss, there's a gain. Sometimes we're so blinded by the…](https://sms4smile.com/quotes/debbie-macomber/i-believe-that-our-world-was-created-with-a-sense-of-order-for-every/) [Debbie Macomber](https://sms4smile.com/quotes/author/debbie-macomber/) > [God always has a way of making you give up something so that you may gain something better.](https://sms4smile.com/quotes/camille-cassie-govender/god-always-has-a-way-of-making-you-give-up-something-so-that-you-may/) [Camille Cassie Govender](https://sms4smile.com/quotes/author/camille-cassie-govender/) > [Maybe bring in sponge balls to learn the technique and gain that experience of actually challenging for a header.](https://sms4smile.com/quotes/ryan-mason/maybe-bring-in-sponge-balls-to-learn-the-technique-and-gain-that/) [Ryan Mason](https://sms4smile.com/quotes/author/ryan-mason/) > [The world's industry must gain incentives to stop polluting and to invest in clean technologies.](https://sms4smile.com/quotes/tulsi-tanti/the-world-s-industry-must-gain-incentives-to-stop-polluting-and-to/) [Tulsi Tanti](https://sms4smile.com/quotes/author/tulsi-tanti/) > [“Quitters don’t gain what they have started working on; waiters don’t start what they could have gained. What is common there is failure.”](https://sms4smile.com/quotes/israelmore-ayivor/quitters-don-t-gain-what-they-have-started-working-on-waiters-don-t/) [Israelmore Ayivor](https://sms4smile.com/quotes/author/israelmore-ayivor/) > [The harder I train every day on the track and in the gym, the more trust I gain in myself.](https://sms4smile.com/quotes/miguel-cotto/the-harder-i-train-every-day-on-the-track-and-in-the-gym-the-more/) [Miguel Cotto](https://sms4smile.com/quotes/author/miguel-cotto/) > [My intent was to gain experience for fiction I eventually hoped to write. But there's no question I was drawn in by the hope…](https://sms4smile.com/quotes/tom-rachman/my-intent-was-to-gain-experience-for-fiction-i-eventually-hoped-to/) [Tom Rachman](https://sms4smile.com/quotes/author/tom-rachman/) > [“It is hard for people to understand helping someone if you having nothing to gain.”](https://sms4smile.com/quotes/sarah-holman/it-is-hard-for-people-to-understand-helping-someone-if-you-having/) [Sarah Holman](https://sms4smile.com/quotes/author/sarah-holman/) > [ “To live is Christ, and to die is gain.”\[213\]” ](https://sms4smile.com/quotes/mark-driscoll/to-live-is-christ-and-to-die-is-gain-213/) [Mark Driscoll](https://sms4smile.com/quotes/author/mark-driscoll/) > [I had nothig to lose ,but something to gain :)](https://sms4smile.com/quotes/eminem/i-had-nothig-to-lose-but-something-to-gain/) [Eminem](https://sms4smile.com/quotes/author/eminem/) > [Keep in touch with the people who have something to gain rather than those who have nothing to lose.](https://sms4smile.com/quotes/vikrant-parsai/keep-in-touch-with-the-people-who-have-something-to-gain-rather-than/) [Vikrant Parsai](https://sms4smile.com/quotes/author/vikrant-parsai/) > [I wanted to put a human face on anxiety disorders. I thought people who suffer from anxiety might recognize themselves and gain some comfort…](https://sms4smile.com/quotes/scott-stossel/i-wanted-to-put-a-human-face-on-anxiety-disorders-i-thought-people/) [Scott Stossel](https://sms4smile.com/quotes/author/scott-stossel/) > [The supply chain industry in our Commonwealth continues to gain momentum, in large part due to The Port of Virginia's unparalleled infrastructure.](https://sms4smile.com/quotes/ralph-northam/the-supply-chain-industry-in-our-commonwealth-continues-to-gain/) [Ralph Northam](https://sms4smile.com/quotes/author/ralph-northam/) [Browse all 706 Gain quotes ](https://sms4smile.com/quotes/about/gain/) ```json { "@context": "https://schema.org", "@graph": [ { "@type": "Quotation", "text": "I now turn down patients who want an operation but they will have very little gain from it.", "creator": { "@type": "Person", "name": "Terry Dubrow" }, "isPartOf": { "@id": "https://sms4smile.com/quotes/#website" }, "url": "https://sms4smile.com/quotes/terry-dubrow/i-now-turn-down-patients-who-want-an-operation-but-they-will-have/", "about": { "@type": "Thing", "name": "Gain" }, "@id": "https://sms4smile.com/quotes/terry-dubrow/i-now-turn-down-patients-who-want-an-operation-but-they-will-have/#quotation", "image": { "@type": "ImageObject", "@id": "https://sms4smile.com/quotes/i/9ae/terry-dubrow-7477_gain_i-now-turn-down-patients-who-want-an-ope_67904.jpg", "contentUrl": "https://sms4smile.com/quotes/i/9ae/terry-dubrow-7477_gain_i-now-turn-down-patients-who-want-an-ope_67904.jpg", "url": "https://sms4smile.com/quotes/i/9ae/terry-dubrow-7477_gain_i-now-turn-down-patients-who-want-an-ope_67904.jpg", "width": 1080, "height": 1080, "caption": "“I now turn down patients who want an operation but they will have very little gain from it.” — Terry Dubrow", "creditText": "SMS4Smile Quotes", "creator": { "@id": "https://sms4smile.com/quotes/#organization" } } }, { "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://sms4smile.com/" }, { "@type": "ListItem", "position": 2, "name": "Quotes", "item": "https://sms4smile.com/quotes/" }, { "@type": "ListItem", "position": 3, "name": "Terry Dubrow", "item": "https://sms4smile.com/quotes/author/terry-dubrow/" }, { "@type": "ListItem", "position": 4, "name": "I now turn down patients who...", "item": "https://sms4smile.com/quotes/terry-dubrow/i-now-turn-down-patients-who-want-an-operation-but-they-will-have/" } ], "@id": "https://sms4smile.com/quotes/terry-dubrow/i-now-turn-down-patients-who-want-an-operation-but-they-will-have/#breadcrumb" }, { "@type": "WebSite", "@id": "https://sms4smile.com/quotes/#website", "name": "SMS4Smile Quotes", "url": "https://sms4smile.com/quotes/", "publisher": { "@id": "https://sms4smile.com/quotes/#organization" } }, { "@type": "Organization", "@id": "https://sms4smile.com/quotes/#organization", "name": "SMS4Smile Quotes", "url": "https://sms4smile.com/quotes/", "logo": { "@type": "ImageObject", "url": "https://sms4smile.com/quotes/wp-content/themes/sq/assets/icons/icon-512.png", "width": 512, "height": 512 } } ] } ```