My approach to helping patients is to listen and gather all the information, then perform a thorough physical exam, then review all imaging and other relevant studies, and all this leads me to a working diagnosis. I then discuss the nature of the problem(s) and the treatment options that are available. All options are considered and generally surgery is reserved for those who failed conservative measures. A lot of problems can be "fixed" without surgery. My patients and I work together on developing a treatment plan which works best. Our relationship continues until the problem is resolved.