I am seeing Dr. William Jarnigan at MSKCC. He is the head of hepatobiliary surgery at MSKCC. He seems really great to me. I will keep the advice about the numbers in mind. I live about an hour and a half from MSKCC. I have a friend who went to Johns Hopkins for surgery, the surgeon does 8 Whipples procedures a week. I think I should do well with staying on the East Coast for treatment. Hopkins would not be too difficult if I am in need of a second opinion about surgery.