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quote tenreasy:I live in Chicago and I do not think that anyone does open tissue repair. They all use mesh. As far as not letting residents participate not sure how you could enforce. My doctor performed the main surgery and was assisted with residents. Maybe doctors could chime in.The surest way is to strike that section of the consent form. There’s also a difference between “hold this” and “cut here.” But in reality I think it is imperative to have an honest discussion with the treating physician beforehand, to let them know what you are and are not comfortable with.