OMFG! I am lost for words! Perhaps a formal letter to the practice about the necessity of engaging the brain before opening the mouth...
Welcome @AR17. If it's any consolation, you're not alone with this kind of engagement with the medical profession. Two weeks to the day from my diagnosis, and two operations later, I met my PS for the first time. My sister had died from breast cancer the year before, which I told him, plus the rest of my sorry story. I was seeing him about the possibility of a BMX & DIEP recon like you. Amongst other things he told me I'd never lose the weight I needed to get into the safety zone for the operation (I did), that I would put it back on (not so far I haven't) and that I would never look good naked. The latter he said twice (my husband begs to differ). I was devastated after that appointment, an absolute wreck. It was gob smackingly insensitive. My breast surgeon recommends him because he's tecnichally brilliant, and he has done a superb job, but boy oh boy, you've gotta have the hide of an elephant to deal with him.
I want fipples but need a bit more time to gird my emotional loins before I see him again...