I like the sound of your aunty, countrybumkin!
The gynaecologist/surgeon is a lovely man, well loved and respected by the nurses. But he is very difficult to understand due to his accent. I don't think that his English is at fault. A friend who worked at the same hospital, recommended I asked for him, as she said that if anyone had to mess about with her nether ends, she would rather it was him. I was warned that he was difficult to understand. Added to this, I have little background knowledge of what he was talking about to fill in the gaps. There is a limit to how many times you can ask him to repeat something and still not understanding. If I have to be referred on, then it won't be an issue. I only take issue with the suggestion that you can easily train your bowel to behave, after a lifetime of dysfunction. If only it were that easy.