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Hi I saw dr. Jacobs to see if he could diagnose if my mesh was casing me my pain. He is a bright guy and has a lot of excellent reviews. I do believe he specializes in laparoscopic repair but mentioned he could do open repair too. He does advocate mesh but feel he might be willing to do a pure tissue repair-not sure how many he has done. Though. Double check I don’t think he takes insurance and the operation is pricey. Check your out of netweoe insurance benefits