Hey Kam! Congrats on your upcoming consult with Dr. Medalie, I just had surgery with him on the 16th and he is great! The consult is pretty much the same no matter how it's done. I live in Ohio so I had mine in person, but I believe if you are out of state, you send him your photos via email then have your consult over the phone. It will be pretty short, mine was maybe 20 minutes. He just tells you which type of surgery he feels is the best fit for you and why, gives you a rundown on pricing and financing if you need to use CareCredit, and asks if you have any questions. You'll get the official price quote in the mail closer to surgery, and you can schedule your actual surgery date after you've had your consult. I didn't really have any questions for him at the time, but you can always email him or Valerie if you think of any. His office is very good about getting back to you. Best of luck!!