Dr Garramone is one of the most popular surgeons right now. I didnt have any problem getting into him though. I scheduled my surgery about 2 months in advance and I was able to pick my date with no problem. You will have to have a conultation with him and you can do that on the phone, he will ask questions and things like that. Then when you schedule your surgery date you have to pay $500 that day. The rest of the money is due 2 weeks before surgery. You will need blood work done and a letter from you therapist. as long as he has those 2 things the day before your pre-op visit then you're good. hope that helped man