"Dr Fermelia is brilliant. He is down to earth and straight forward with the facts and risks. My 1st impression was good, he was confident. Office staff for Lifestyle Management is excellent, everyone is warm, friendly and so kind! Dr Fermelia has you sign a contract for your aftercare, he seems very concerned about all of his patients. The aftercare program is structured, lots of appts. for blood work etc. to keep you healthy! I would give him the highest rating! His surgical competence is phenomenal, bedside manner is great."