I respond to difficult surgeons with matter of fact questions with tact and respect. If that doesnt work.... Silence. How do you let others know you are not to be toyed with??? Be curious and interested in your patients condition, read up and know your procedures. Ask your tech's lots of questions about the setup, the instruments and case flow. Learn to know your stuff. Be interested, be helpful to others. The OR is a very good long term position if you can stay interested. If you get bored and think you want to be somewhere else, then be somewhere else. It's painful to have to work with other RN's who are burned out and don't want to work there anymore.