Recommendations are optional. There is no enforcement. I might not be able to find a doctor to give me a surgery I want. But rarely does a surgeon force upon someone a surgery they don't want.
An obvious counter example is electroshock therapy or a lobotomy. Typically there's some due process there before a doctor just does something against patient wishes.
People don't like the vaccine debate for many, many reasons. Sadly a lot of the discussion is people talking past each other and refusing to acknowledge that the other side does have a point about assumptions that are damaging to their own position.