
When it comes down to surgeon cuffs, there are three types: real surgeon cuffs (usually custom or bespoke), fake surgeon cuffs (They appear to be real with the contrast stitching but are really fake holes) and regular cuffs (off-the-rack suits, without contrast stitching or button holes).
The large majority of people not only don't notice the difference between fake surgeon cuffs and real surgeon cuffs, they don't notice the cuffs period. However, for the educated, style inclined individual, it is very noticeable. My opinion, if you want the surgeon cuff look, go custom or bespoke. Don't even consider the fake button hole look.
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