Dr Geisse has been a great addition to our team working to use less narcotics and combination drug therapy that allows patients to be more functional. The therapy department also adds a great addition to the team effort. Only 5 percent of present patients need surgery. I spent my career trying to lower this percent or at least do less invasive surgery when all else fails. The addition of smaller implants allows for better outcomes and lower complications.I see the results of other spine surgeon also do great work in South Florida.I again ask patients to look at peer-reviewed published claims.