I am happy to provide an A++ score for Dr. Duran and all personnel at PISA. Also, I had extensive interaction with Ms. Kristen O’Dell, FNP-C & Ms. Tamara Willis, MA – all were very comprehensive in explaining all questions regarding my procedure. I felt at ease discussing all aspects of the technique and am very pleased in having PISA personnel perform the surgical implant. Everyone at the facility is very knowledgeable & most cordial. Give PISA a 5 star PLUS in every regard!