Smith passed over the single sheet of paper. Manuel studied it for a considerable time. There were a number of drawings and indications of what plastic surgery was wanted."This is very extensive and invasive surgery, Mr. Smith.""I'm aware of that.""When do you want to begin?""After this meeting."Manuel continued making his own notes. It was just after ten o'clock in the morning."I also want it all done in one session.""That will be impossible. The liposuction alone will take considerable time and it will be painful, requiring a few days to settle before the bandages can be removed. You will also need to wear elastic surgical bandages to maintain the tightness of the skin.""Yes, I know." "So may I suggest we start with the less invasive surgery and then judge how soon you would be fit enough to begin everything else?""No. I want everything done as soon as possible. I've brought with me the required amount of Fentanyl in preference to any other anesthetic. Are you familiar with this type of—"Manuel interrupted him. "I'm aware of the use of Fentanyl for emergency surgery and that it is now quite commonly used in many hospitals as a fast means of pain blockage. 1 know how quickly, unlike most anesthetics, it leaves the system. But it's a very potent opiate that can create respiratory depression if oversubscribed. It can be used as an intravenous anesthetic, but I've never employed it.""I will determine how much 1 need.""That is a great risk, Mr. Smith, and one I am not prepared to take. You will require a general anesthetic, but it is up to you if you wish to use the Fentanyl as a means of pain relief."Manuel put his silver pen back into the breast pocket of his shirt. He hoped his request for a general anesthetic would make his client change his mind. It didn't."Very well. If that's what you advise.""Have you eaten anything today?""No, not since midnight."Manuel leaned over to a pocket built into the side of the chair."I will need to call my assistant," he said.Mr. Smith noticed for the first time that Manuel was sitting in a wheelchair and it freaked him."Is that a wheelchair?"Manuel glanced toward him as he dialed.