John, Thanks for your reply. So far I have seen doctors at Stanford and a doctor in private practice who was formerly at the Cleveland Clinic. None of these have been surgeons as I don't think anyone does this surgery in northern california. What's left for me seems to be either implants or surgery. I located a surgeon who says I'm a good candidate for his surgery, but it's hard to get independent verification or to know if he is the best doctor. I'm hoping to find someone who has experience with a surgery.