The surgery is horrifically botched, and an appointment is made to fix the damage. George is so nauseated by her disfigured nose that he cannot look at her, and tries to lead her into taking a vacation by herself in the interim between surgeries.
The operation was botched severely, and a follow-up appointment has been scheduled. George finds her disfigured nose revolting and unable to face her, so he suggests she go on vacation by herself in the period before further surgery.