Interesting songboy. I do think that is one of the biggest misconception of ETS is the patient satisfaction rate. Sure Dr. Garza asked me hours after my surgery what I thought and of course, I was in 7th heaven as my hands were dry and didn't have any side effects yet. This is why the ETS doctors can publish such high patient satisfaction rates. I was also a sucker for all the patient letters posted on Dr. Garza's raving about what a life changing experience and how great it is having dry hands. I bought it all hook, line, and sinker. Who wouldn't think this is the right way to go. Now that I have my thinking cap screwed on correctly, I go back and look at the letters on Dr. Garza's site and pretty much all of them were written to him within a month of the surgery so of course, people are still feeling good from dry hands/underarms. And of course, Dr. Garza has never ever once done a followup with me since my surgery. It just on to the next sucker....