Several years ago my friend went to the local well regarded surgeon about a brease problem. He said she had to have procedure XXXXX and it could be somewhat uncomfortable. She called around and at Yale they offered a new way to do it, pain free and it was only an hour away. When a doctor says you need to have anything done ask point blank if there are other options or ways to have it done. Lots of small town facilities cannot afford to keep up with the latest new equipment. For some time after belly button gall bladder surgery was afailable many people were still having their entire innerds cut upen cuz their surgeon didnt know how to do the belly button procedure and didnt have the equipment. Cookiemonster just wrote about a really tough experience in her dr. office and that prompted this post.