I'm not a big fan of lettuce or tomato on my burger (but HCBW is), but they are easy to remove, so it's usually not a big deal and order "as is"
If the added stuff is Mayo (which I hate), that is really hard to remove myself, so I ask NO MAYO.
It also depends on the "class" of place ... if it's mass produced one way, probably take as is ... McDonalds if ever get a burger which I almost never do for example, versus say Wendy's where making it your way is kind of part of the deal.