True to a point. However, Plastics is not valued as much as most other surgical specialties. We generate much less $ per time then ortho, optho, podioatry, neuro, general, CTVS, Urology, etc... and unless you're a hand surgeon doing 6-10 cases/day, you're not likely to be bringing the volume to have much leverage. Our cases just take too long. This is even more true in the outpatient ASC setting. We're the least desirable specialty for an ASC profit wise I'm told.
They will throw you overboard in a second if they need your OR time, resources, etc.. to recruit other business. I've watched this play out sequentially in the cities I've trained and now practice in. Cosmetic surgery is usually the 1st target as it's a loss leader in most instances on facility fees (Anesthesia loves it however).