My approach is to treat my patients as I would wish members of my family to be treated, or would like to be looked after myself. In my clinic I will always give patients plenty of time and do my best to discuss and explain the nature of the problem.
I will give a balanced opinion, and only recommend surgery if there is evidence that it is effective, and the benefits clearly outweigh the risks. My fees for my private patients are clear and transparent, and reasonable for a specialist in my field.