[kimmers]

Tiffany,

I ditto what people on here said about Dr. Garcia. I know someone who was in trials for Active-L and that person is doing great.
I don't know how many surgeons do hybrids besides TBI, the surgeons in Colorado, Dr. Bitan in NY, and the top ones in California. My surgeon does hybrids but he is not in Florida.

Yes, insurance issues can be problematic, but if that is not a major concern, go to one of the best surgeons. There are also several qualified surgeons on the East Coast (Dr. Yue was mentioned).

There are advantages to staying in the U.S. Complications do happen, and you have to take that into account when deciding where to have surgery. Get a surgeon with experience, whether they are a big name or what. IMHO, I would not do one surgery and follow it with another anterior surgery. It is best to get your surgery done all at once.

Best of luck,

Kimmers