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I think they can handle so many surgeries because they let their assistants do most of the work and only supervise when needed….is it bad? Maybe… I had a hernia right above the navel that was operated 20 or so years ago: the chief surgeon was supposed to operate on me but in the end the assistant did it. She felt the hernia was very small and opted not to use a mesh ( at that time I did not even know what it is and was not told this could be used in my surgery). I have had discomfort for a month, started back on swimming after about 6 weeks, have never had any problem ever since. A mesh surgeon wanted to convince me in recent time that this would eventually fail and require mesh….I ignored his opinion