Am I just scared or does this not sound reasonable?

and if you encounter a surgeon who is so inflexible that is his/her way or the highway, its time to find another surgeon that will work with you to achieve your goals and provide you the best recovery possible.  But if you did accept the Tyl#3, would your surgeon be available to give you a triplicate LATER if you called and said the Tyl#3 wasn't enough and would this be done easily for you or would you have to drive a great distance or for some time to pick up the triplicate?  I would suspect in the big cities, it would be nearly impossible to get something stronger after hours or on weekends.

We would typically use a stronger pain med the first few days, because there is no reason to be "tough" and suffer. The pain meds are not dangerous if you follow instructions in doseage and only use them for a few days. If I were that doctor i would make sure the nurse in the office was more compassionate.