Much remains unstated in the story. The American man and the girl he calls Jig are having a serious but unproductive conversation in a cafe. They are clearly at cross purposes.
The man keeps encouraging Jig to have a medical procedure by downplaying its seriousness and importance. The more he insists that it is no big deal and that it is her choice, the clearer it becomes that it is very serious and that he is trivializing her concerns about it and, most likely, about other decisions regarding their relationship.
"I think it's the best thing to do. But I don't want you to do it if you don't really want to."
"And if I do it you'll be happy and things will be like they were and you'll love me?"
They do not have everything yet, as they have a poor relationship, and the operation will not improve things. He makes any improvement impossible because he disregards her feelings. She believes he does not love her, and will not love her. He makes anything further impossible.
Because the unnamed...
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