"My first impression of Dr. Afram was that he is very competent and businesslike. A month after surgery, I still can say the same things about him. He definitely knows what he is doing and as far as he was concerned, the surgery and aftercare have really been going well. He is also very busy; sadly, you may feel rushed during your appointments because of this. Make a list of all of your questions before your appointment with him and that way you make sure to ask everything you want to ask; he will answer your questions thoroughly but poses very few questions of his own. Don't expect him to anticipate your questions; he will ask a few but you MUST ask him if you want to get the most from his knowledge. Also, if you have a problem (pain, nausea, etc.), be sure to tell him about it; he has helped me a great deal in this regard. As for his staff and aftercare program, both have been marvelous. I was approved for surgery without a hitch and his staff have taken care of everything for me (one-stop shopping at its finest!). The entire group treats you with respect, which is a far cry from other surgeons and staff that I have worked with in the past. Overall, I don't regret choosing him or his staff for this procedure and would certainly recommend them."