Family of MD and patiients
I do not think there is any conflict. In fact there may be an advantage since a physicians's wife may be far more critical of results when she sees and spends more time with the patients. I know of a number of PS whose wife is a nurse working in the OR or office, and it seems to work very well. I would have no concern.
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Family workers in the office
It seems to me that having a family member work in the office is fairly common in all specialties and I have seen it a number of times in plastic surgery. We clearly disclose the fact that my wife works with me on our website etc. However not disclosing it is likely not any kind of conflict. If you are not getting the attention you need from the surgeon you should bring this up with him. He is the one you should be seeing if you have an issue.