as a Canadain i can't comment on what needs to be said specifically to your doc but I can give this advice.....

1. write a list of questions you have on a note pad leaving room for your written answers.
2. take someone else with you as they may hear things you don't hear from the doc....our chronic pain kinda takes over our brain and we don't hear all we should hear....
3. perhaps take a tape recorder and ASK if you can record the interview for your records as you need to write it out later.....or whatever the case is....

4. go calm and centered.....try not to be anxious and worried ...don't let the doc convince you of things you know are not true.....always remember that YOU know your body best!! after all your surgeries and issues I'm sure you get that by now!!!! LOl

I guess those are my major ones to remember for an appointment......
hope others can give you more advice.

Best of luck with it
love and hugs,
Victoria