TLDR: Keep getting consults until you feel comfortable. Get a procedure that measures higher order aberrations, like Contoura. That said, I haven't had the surgery yet, so we'll see.
I was completely unimpressed with my first consult. They were not very friendly and rushed me through. They didn't explain what they were doing or looking for. At the end they just said, "You're a candidate, it will be 4 grand, when can I schedule you." I didn't even talk to the doctor.
I got another consult at what I know to be the most reputable place in town. I didn't start there because I figured it would be much more expensive. (It was $4,500).
It was night and day difference. They were so helpful and friendly and spent tons of time with me. They dilated my eyes and probably used 6 or 7 instruments to examine my eye. They also made me stop wearing contacts a few days before so my eye could go to its normal shape. (They other place did none of this).
I told them I would be a tough sell and am concerned about things like night vision, coma, and other higher order aberrations (not the typical questions they get I'm sure).
This doctor only does Contoura Custom Lasik. Part of the screening for this procedure is to use an instrument that maps your eye's spherical aberration. They showed me my eye maps and said that I have really good night vision and all my blurriness is coming from refraction error, not higher order aberrations. This makes it much less likely that my night vision will be negatively impacted, in fact, the Contoura claims to make it even better.
The doc spoke with me for 40 minutes and answered all my questions with good evidence. So I'm taking the plunge. I'll report back how it went.