I think the question was answered but Dr. Garcia uses sutures and Titanium staples...You have to take into consideration that there are HUNDREDS if not THOUSANDS of Dr. Garcia patients...If he was doing doing something wrong you would've heard about it by now...I think people get it twisted when they hear a doctor that charges more is better....WRONG WRONG WRONG...one shouldn't pick a doctor because he is cheaper WRONG WRONG WRONG...My choices were Dr. Ponce De Leon, Dr. Garcia, Dr. Alvarez....I went with Dr. Garcia for numerous reasons but I still think the other surgeons are GREAT...