The first time you meet with a lactation consultant might be as early as the day you give birth. You may not be used to taking off your shirt for just anyone, or having people inspect your nipples like they were some strange specimen from another planet. And even though you were the one who requested meeting with the lactation consultant, it still can be jarring when they make that first reach for your boob. You might have some things you'll want to say to your lactation consultant when they're grabbing your boob, too, although not all of them nice enough to say out loud.
I was pretty drugged out when I came out of the operating room from my emergency c-section for my first-born. My milk wasn't coming in easily (which tends to happen with c-section mamas) so when my son nursed, he was getting a whole lotta nothing, and it was frustrating for both of us. Even though he seemed to be latching, he was kind of lazy about it and I kept on losing his latch. I asked the hospital if I could meet with the lactation consultant who had held the breastfeeding class that I had attended on one of the days I was in the hospital post-birth (a thrilling enterprise, sitting in my thin hospital gown in a cold room smelling of baloney sandwiches while clutching my still tender surgery scar.)
I imagine choosing the right lactation consultant can be similar to choosing the right doula, OBGYN, or any other health care provider that might touch your private areas or your baby. My lactation consultant's bedside manner wasn't so great, but all-in-all, I have to admit that I learned some important things about nursing.