Most of the greatest hospitals in the world are teaching hospitals where the most gifted residents go to train under the eyes of the most gifted surgeons in the final years before they go out on their own into the world of surgery (for example, the Mayo Clinic, Boston Medical Center where Spiegel is on staff and so on). Literally all surgeons went to some kind of similar hospital to train. The best surgeons practice there because they are the best and can and do train others in their techniques. No matter which surgeon you pick, they were at one time a resident doing the exact same surgery under the supervision of a mentor. I have never understood this supposed criticism.

Isn't the risk with Spiegel just that nothing changes, and you need someone else to re-do the work? I mean, that'd be awful--but it's not a botch in the sense that you'll look awful, just that the money might not be well spent.