"My first impress of Dr. Ludemann is that he is very matter of fact. The \"surgeon\" talk that he gives is obviously well rehearsed. He was very blunt about how surgery is not a magic bullet and that for any real weight loss it will require a lot of hard work on my part. rnrnThe office staff is great. Kasier has a very complex and comprehensive program and there are a lot of steps to the process of getting to surgery. A lot of people have a problem with that - but it is a very cohesive program for a reason. They don't want you gaining the weight back. No magical thinking here. rnrn"