From what I've heard, Dr Pamela Tan is quite open to birth preferences, she actively encourages patients to discuss what they want and will work with you on an individualised birth plan, which is reassuring if you're hoping to keep things natural and minimal. She does support natural birthing and personalised care, though like any OB, she'll still plan for contingencies like assisted delivery if needed during the second stage, so it's worth having that honest conversation with her upfront about your specific preferences on episiotomy and medication. My friend delivered with her at TMC and said the scar from her C-section was very neat, which suggests she's careful with her work, though that's a different scenario from what you're asking. Overall, she sounds like someone who listens rather than pushes a one-size-fits-all approach, but I'd say go in with your birth preferences clearly written out so the discussion is concrete and not just general.