I think there are two prevailing views of the suburbs in the States: either they're this sort of tedious place, where everyone is the same, buys the same food and drives around in their little minivans, or the view is that the suburbs are extremely perverse in a humorous way.
Surgery is a complicated thing to talk about, but I guess it could also be a dangerous thing to play with if you're not very secure about what you're doing.

