My advice would be to find a properly trained physiotherapist- definitely not just a personal trainer - who is interested in offering a program based on Onero. I don't know what qualifications are needed for physiotherapists in the US. Here in Australia, where Onero was developed, being a licenced physiotherapist requires a four year degree, and these university courses are very hard to get into. My physio also has a Masters in Sports Science. She never has more than four clients at a time and we each have our individual programs. Classes are held in a gym which has the usual range of equipment. (I have a deeply ambivalent relationship with the leg press.)