I too had skin cancer surgery in which I thought the surgeon botched the job. It was on my arm and there is a deep indentation on my arm, and they kept messing with it while trying to close up the cut. I had the sense the surgeon was rushed and he had appalling bedside manner, gruff and disinterested in any thing I said. Like you, live in a small town with little choice. The only other dermatology practice could not see me soon, but they are affiliated with a practice in a town 30 miles away. Truth is, if I still lived in the big city I might be 30 miles from the doctor anyway. 30 miles on open highway is easier and faster than the same distance in city traffic.