Hey Boogirl, I think I can understand where you are coming from, or at least see how it could be off-putting. However, bariatric pal itself has a vested interest in selling their surgical packages not only for profit, but also for the convenience and safety of the patients. My first experiience with a bariatric surgeon was locally at a seminar. He seemed to have a great program. Unfortunately, he was a little on the aloof side, and gave the impression that he couldn't care less if you went to him for surgery; I didn't care for that. But in reality, he could have many satisfied patients that thought his program was great despite what I thought. The proof of patient satisfaction with Dr. Altimirano is easily found online, and this is why I am going with him. Best regards!