Final answer:
An absolute contraindication for a surgical procedure at a physician's office includes the presence of a severe infection such as sepsis, as it requires more controlled medical intervention than what can be provided in an office setting.
Step-by-step explanation:
An absolute contraindication for a surgical procedure at a physician's office would be any condition or factor that represents a significant and unacceptable risk of harm to the patient if the procedure were to be carried out. Given the information provided, which includes concerns about work overload, heavy physical work, patient concerns, interpersonal problems with medical staff, ensuring antibiotic prophylaxis, essential imaging results, and the risk of contamination in surgery, we can infer that a major absolute contraindication would be the presence of a serious infection, such as sepsis or other conditions that could lead to sepsis if surgery is pursued. This is because sepsis is a severe systemic response to infection and requires immediate medical attention in a more controlled hospital setting rather than a physician's office. Other absolute contraindications involve hemodynamic instability, anaphylaxis to any of the medications or materials to be used during surgery, or the patient being medically unfit for the procedure as determined by preoperative assessment.