Most of us agree that laser lipo is not always better and not always necessary. Sometimes I do it, and sometimes I don't. However, this decision is always made well before the surgery and our surgical plan almost never changes right before surgery. While your doc may be 100% right, it makes my uneasy that he/she changed the plan on you as you were being marked. You should verify with your surgeon that he/she actually performs laser lipo. It sounds crazy, but I have heard of many docs who claim to perform laser lipo, but don't actually have the laser machine. It is a classic bait-and-switch. This is not only unethical and dishonest, but illegal. Again, this may not be the case with your surgeon, but you should at least ask.