Wow, this is quite a heated thread... I can only share my experience I was banded by dr Spivak on Aug 13. In 3.5 months I am down 50 lbs, and feel confident to say that as an out of state patient he was the best choice. The on the phone advice and service I've been given is amazing, the office was organized, and had ALL my info ready to go, the staff expected me, and was excited to meet me! I have been nothing but supported by Dr. Spivak and his staff and patients, more so than some of my friends. They even set me up with some of his patients in my area for support. I say Spivak all the way!!!!!