During the initial consult the thrust of the discussion will be directed at determining the best possible approach to meeting your desires and expectations. We will first determine if you are a good candidate for the procedure you are seeking, and then explore all other options. The goal is to provide you with all the information you will need to make an appropriate decision about proceeding with the surgery. This includes all risk and potential complications, time frame with regards to being out of work or away from particular activities, pre and post operative requirements, and expectations with regards to healing and recovery times. It will also include an extensive medical history and a physical examination. Procedures covered by your insurance usually require preoperative approval and may require supporting information from your primary care physician. Pre and post operative pictures of similar patients will also be reviewed with you. Finally the cost of the procedure to include surgeon’s fee, anesthesia’s fee, and the surgical center’s costs will be presented to you.