I have mixed feelings about them. I was banded in MX and they took me for follow up (plus). I too found their office staff disorganized and it's hard to reach anyone on the phone (minus). But I always got a call back when I left a message, and I have been called by both the doctor and nurse to answer my questions (plus). They constantly reschedule my appointments, I don't think I ever had one at the time I originally set it for (minus). But everyone there has always been super nice to me (plus). I think the doctor seems a little too conservitave, he has sent me for 3 upper GI in less than a year-which of course I pay for out of pocket (minus). Of course this is all my experiences and everyone is different...