"My first impression of Dr. Nazarian was of a kind and knowledgeable doctor. The impression has not changed over time. The doctor is soft spoken and gentle, and is genuinely caring. The office staff are competent. As can be expected with any doctor's office, it is necessary to initiate most contact with office staff due to understandable time constraints. I can honestly come up with nothing negative to say. I trust this doctor with all my heart, and feel that he has earned and deserves this trust and respect from me as a patient. The doctor flies to the other side of the state periodically for the benefit of us patients living here, which is going above and beyond the call of duty. He and the program director treat us as well as family. As for structured aftercare, I have done reading and research on my own after surgery. It was my choice. I don't have a lot of time to attend support groups, although they are of occassional benefit. The risks of surgery were carefully explained prior to surgery. I would give Dr. Nazarian a 9.9, only because if I said 10, nobody would believe it, even though it's true. Both surgical competence and bedside manner are excellent. I could have chosen a surgeon closer to home and within my insurance network. However, I chose this doctor and I would have made the same choice again in retrospect. I felt like I was literally in good hands with this doctor."