"The Operation" joke

"A woman goes to her doctor and says she wants an operation because
her vaginal lips are much too large.
She asks the doctor to keep the operation a secret as she's
embarrassed and doesn't want anyone to find out.
The doctor agrees. She wakes up from her operation and finds three
roses carefully placed beside her bed.
Outraged she immediately calls in the doctor and says, "I thought I
asked you not to tell anyone about my operation!"
"Don't worry," he says, "I didn't tell anybody.
The first rose is from me. I felt bad because you went through this
all by yourself.
The second one is from my nurse. She assisted me with the operation,
and she had the operation done herself."
"Who is the third rose from?" she asked
"Oh," says the doctor, "that rose is from a guy upstairs in the burn
unit. He wanted to thank you for his new ears!"