I just located a Schnarch-oriented therapist in our area, and I'm going to suggest we change. I'm pretty savvy in the C department and the current one is not impressing me (we've been about six times). Geez, one time when I went by myself, I was talking about some of the things that were unsatisfying about the R, and the C said, "Well, if so many things bother you, why don't you just leave him?" I get better feedback than that from my girlfriends for free, and sometimes they even buy my lunch!
Another time when we were there together, I said I felt that my BF did not find me attractive because he never approached me for ML. I said, "I know I'm not pretty." The C said, "What does that MEAN, really, to 'be pretty'?" Yikes! A better response would have been the ever-popular and hardly-ever-inappropriate "And when you tell yourself you're not pretty, how do you feel?"
It helps to feel that the surgeon is competent, at least WHILE he's working on you. You hate to look up into that big mirror over the table and watch him cut out the wrong organ-- especially when you've just handed him a big, fat check!