I ageee with everything Hercules said in their post. I'm a patient at Mayo and have been very impressed with their care and capabilities. That being said, I got a written 2nd opinion from Cleveland clinic within a few days of submitting my records to them. I'm going to Cleveland at the end of this month for more testing and will be meeting with a surgeon there. It gives me peace of mind knowing that I've got lot's really smart people looking at this. I'm not sure what I will do if the Cleveland Clinic ends up disagreeing with Mayo on timing.... but I feel better tapping into experts for advice.