I had a rhinoplasty about two months ago. Before the surgery, my only real desire was that my tip be narrowed and projected upwards. My surgeon told me that I would need my hump reduced (which wasn't too noticeable) so that it wouldn't stick out post surgery. I was nervous because the hump wasn't a major issue. Instead of a hump removal, I requested a hump reduction so I could maintain some genetic characteristics and I also feared that losing the hump would "feminize" my nose. So in I went, under the knife...
...the results were great. He performed everything to my satisfaction. What's better, is that he straightened some nasal bones that became misaligned after I had broken my nose a few years ago. I didn't even know my nose actually changed shape from this incident, as I had no immediate pain. I was always wondering about the asymmetry and he resolved this. There was no pain and very little discomfort post surgery, mostly due to edema and some minimal bleeding, which only occured for the first couple of days. The swelling has decreased in record time, much ahead of the generally projected 3-6 months period. All that is left in terms of meeting the final result is some tissue thinning that he said will resolve in a few months.
I believe the safe way to ensure a great surgeon is to consult a few and decide which one falls best in line with your thinking. My surgeon has been performing surgeries for about three decades, so experience definitely helps. He was completely honest about what could be achieved and did not try to sell me on anything.