Even though I have performed in excess of 3000 surgeries, I am stilll amazed how each patient’s needs are so different. I reflect about the various surgical changes that I have gone thru after analyzing my successes and failures. So much of good outcomes requires recognizing the correct type of surgery to perform. The test of time has really shaped what I offer to patients for treatment. Patients really need to factor in this kind of experience as to not be let down with unrealistic promises. I find it challenging to gain this respect between patients and their surgeon. In my office, I value the advice of several other specialist in making a final decision.