I am of the firm opinion that apart from good surgery, it's the faith of the patient in doctor that heals the patient's suffering. Sometimes I was not happy with the surgery but patient's longanimity and faith of him in me that he is happy with the outcome. At other times, I have done a wonderful job surgically but still patient is not happy. So TRUST is the key issue for good outcome.
There are instances where I had to revise my cases with revision surgery. I even offered the patient that someone else might do the same surgery whom I think is better than myself yet patient insisted me only to do the job. Fortunately results were satisfying.
Those patients who have happy-go-attitude towards life do very well after surgery and those are emotional kind, have unrealistic expectations towards life do worst despite surgeon's best job.