After you have sent us your initial X-Ray and medical information sheets , I will call you to answer your questions. I will assume you have read the information available on this website already. I will let you know if you are a candidate for this operation and whether any special challenges are present in your case. I will answer your questions. After this , if you decide to proceed , we will schedule your surgery and contact your insurance company. We will also schedule a formal office consultation with Dr. Gross and Lee Webb just prior to your surgery date. After this time we will review your record , perform a physical exam and take a new X-ray. After this meeting you will be sent to the hospital for the preoperative anesthesia evaluation and any last minute blood test required. Please bring the results of your hometown physical exam to this appointment.