You ask a good question. A board certified surgeon is one who has had more specialized training and certification ini an area of medicine, in this case, surgery. So, if my bulldog was going to have stenoic nare surgery and i had the choice between a BCS and a "regular" vet, i would choose the former. I think of it as this: if i was going to get plastic surgery done on my face, I'd want a board certified plastic surgeon to do it, not my family practitioner (who legally can perfrom the surgery but may not do it so well). Also, not sure if the surgeon would be the one in charge of the anesthesia or not...you should ask b/c sometimes they bring in an anesthesiologist also (but not always the case).