I am coming up on my 51st birthday and had the Nuss procedure performed by Dr. LoSasso in March of 2016. The results are amazing! I had a very deep PE as evidenced by my 7.6 Haller Index. I met with Dr. LoSasso three times before having the actual surgery (once by Skype and twice in-person) and found him to be extremely knowledgeable and caring throughout the whole process. I had two titanium bars installed and my surgery involved very little pain. I attribute the lack of pain to Dr. LoSasso's skill in bending the bars. He is simply fantastic! My pain level for the first week after surgery was only a 4 (out of 10). I found that by listening to Dr. LoSasso and doing everything he said, like walking regularly and using the spirometer, that my recovery went smoother. I took a month off from work and spent all of that time in the San Diego area recovering. Now that I am five weeks post-op, I am completely off all medication and my pain level is between 0 and 3. The more I walk, the more I practice my posture and the more I do the spirometer, the lower my pain. The bottom line is that if you are looking for an exceptional surgeon, I highly recommend Dr. LoSasso. Many thanks to the West Coast Center of Excellence!