"My first impression of Dr.Betcher was he is a very confidental doctor, which helps when you are a little scared. His staff is very friendly and helpful in answering all questions. You don't have to be shame of your weight when you are talking to him, he doesn't talk down toi you or make you fell fat. He talks very postive if you follow the program. Dr.Betcher emphasizes on exercise, you must exercise before and after. befoe is to help get your mind in the mold of exercising and it helps you heart before surgery and to attend the support group and all the risk with the surgery. As odddf now I would rate him a 9. I think surgical competence is for greater then bedside mammer"