My approach is to determine the patient's expectation, no matter how high, and create a way to get there. To listen to the history of how the problem started. To listen to what has worked and to what has failed. To get a sense of where the patient hopes their treatment will lead them. And then, determine which techniques and processes are available in our arsenal to treat them. I draw upon my experience, and my previous patients' experience to create the plan. Then together, the patient and I discuss and select an option. We then work together through all phases of treatment, and into the patient's future to ensure that we get the desired result.