I have to say, any good, supportive OR would not let this behavior fly. Sure, surgeons have their occasional moments, or quirks (we have one who drops at least one f-bomb per case, but is doing so at the situation, not the staff and we all understand because we've all dropped our own f-bombs at times). But it sounds almost like this surgeon makes having a tantrum his norm, not the exception. This is what drives away the good nurses. A good manager will nip this behavior in the bud, and take it up the chain as far as it needs to go, even to the hospital CEO if need be (and we've had that happen).