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quote pinto:[USER=”1391″]UhOh![/USER], it seems that docs move the goal posts! I am floored when doctors tell patients in extreme pain 6 mos. post-op that the pain is expected. Or when doctors tell these patients that their pain is impossible. It is egregious particularly with docs who are blind to corporate blunder. Granted that some patient complaints may be groundless, nevertheless other complaints are real. As long as imperfect mesh is considered the ‘gold’ standard, hardly will there be much advancement in our lifetimes.But that’s my point: as long as recurrence is the only measure of success, every surgeon out there will continue telling patients (and believing themselves) that mesh leads to more “successful” outcomes. This is especially true in a world transitioning to value-based care (vs. fee for service) where a surgeon risks not getting reimbursed by a patient’s insurance company for a “failed” procedure (in this case, a recurrent hernia).