The decision to undergo LASIK eye surgery is an extremely complex one. Dr. Alan N. Carlson, Professor of Ophthalmology and Chief of the Corneal and Refractive Surgery Service of the Duke Eye Center prides himself more on turning away the most patients rather than treating the most patients when it comes to laser vision correction surgery. There are a large number of patients who should not have surgery and also a significant number of patients where LASIK may not be the best procedure for that particular patient. One critical aspect of patient selection is recognizing that it should never be a “one size fits all” approach and each patient has a “best decision” before them that may be LASIK, or PRK, or perhaps an entirely different procedure, or no procedure at all – perhaps they should even wait for new technology that is in development. When it comes to LASIK, the recovery rate and eventual outcome depends on a number of factors and these are all factors you should address with your surgeon prior to surgery. Here is an example of a patient I took care of this week who is largely happy because we spent the time prior to surgery setting her expectations.