some surgeons are particularly good at different things (not always!) so people like to tailor what they want to achieve with that surgeon, for example some surgeons are good at fitting larger implants e.g 700 ccs and over, so if someone wants a large implant theyd be looking at that surgeon over the rest, it doesnt mean the others are crap its just specialties. another example are surgeons good at uplifts, or really neat incisions some look for those if they want pretty scars xxxx