We are sometimes asked, by other clinicians more than by patients, why our procedure list is shorter than it could be.
The answer is that we have chosen a smaller list of things to do extremely well. We do not offer treatments we cannot personally repeat in our sleep. We do not offer treatments whose long-term outcomes our team has not personally followed for at least three years.
It costs us occasional patients, who quite reasonably want a procedure we don't perform. We refer them out, write a letter, and stay in touch.