Well for instance, in Belize, the dive ops never touched my stuff unless I asked them. They did check over my gear before I jumped in the water, helped me out of the boat. Had drinks on the boat and fresh water washcloths (with eucalyptus oil - ok ok, this is a bit far) on the boat for a face wipe after the dive. They had fruit and baked goods for the surface interval and after the dive. They had a variety of drinks available. Also an in-water guide who was as present as we needed him to be, if we looked over to him, he'd give us guidance, but wasn't in the way. After the dive, they took and rinsed the gear we rented.
In Maui they had no eucalyptus wipes, but everything else, dive guide in the water, cookies for surface interval and a variety of drinks, excellent help off and onto the boat.
This is nothing that I would consider "boutique" service (with the exception of the facial wipes). This is what I would consider standard service. In the Florida Keys it seems that you get a boat to the location... and... that's about it. So this doesn't seem to live up to what I would consider a standard level of service. Maybe if the weather were more extreme, suddenly they would become more helpful??? Maybe I'm spoiled from my experiences in Belize and Maui?