If anxiety persists, even with a full understanding of what is realistic during and after the procedure, counseling may be an option. In situations where surgery can have an impact on self esteem, such as the removal of a breast or surgery that causes erectile dysfunction, counseling may help the patient cope with the changes.
Patients who are having surgery for life threatening illness, such as cancer, may also benefit from speaking to a counselor. Being able to discuss concerns openly with someone who is not directly involved can be very therapeutic, especially if friends and family members are unable to be impartial.
Counseling may also help patients who have had a bad experience with a surgery or healthcare in general to conquer their fear. Most therapists are able to recommend exercises to help control anxiety and the physical response to stress.

