"Wow is the word for Dr.Hornbostel he is so kind and understanding and answers all your questions and takes his time with you! You what he tells you and you will be succesful in your wls. His staff is nice especially Marggie. There is always risk in surgery and a chance of death but any doctor or hospitol will tell you that. As for rating Dr.Hornbostel and his staff would be a 9 because no is perfect! Both bedside and surgical competence were great ."