bullitunt i agree. Bill from now i think, all doctors should have a written policy for extra grafts which every patient must sign before the surgery(no verbal-it can be very confusing), so everseas patients can manage the extra $$ amount. This could be also big factor to short list a doctor. Bill, i am also not saying here what ever happened with me is wrong because extra graft policy was not cleard before the surgery. overall, i choose a top class surgeon and everything went fine. i would recommend dr. rahal.