For 6 years I searched for a surgeon who would operate.  Dr. Germano said he could do it if I lost 35 lbs. I lost 45 lbs. and true to his word he did the surgery. Six years of wheelchairs, walkers, canes, and constant pain went away. He gave me my old life back. I can drive, walk, exercise and have even gone back to work. I can do anything I want like a normal person. Pain free. God bless him he is a life saver.