Dr. Brownstein required someone to be there, not only the day of surgery, but the pre-op appt as well. I went with my brother. Which was embarrassing because they made him wait with me pre-op, and Dr. B came in and suddeny yanked open my gown to draw on my moobs in full view of my brother. Um, we're not that close, thanks!! So my brother was the last person to ever see my moobs (other than the surgical team lol).
If you don't have someone, occasionally you can find someone in the area who is willing to help out to meed that requirement, but you need to look around all of the forums to find out if there is someone who can do it.
Jay