I was warned that Dr V was brusk and could rub people the wrong way -- I found the opposite when I took my 11-yr-old son in for his first consultation. Dr V was friendly and informative. The office is state-of-the-art -- not "like a spa" -- just a state of the art orthodontist office. (I would be happier without the TV in the waiting area, however.) The staff is wonderful, which is where even wonderful doctors often flub it. I also have appreciated his conservative approach -- he did not request that we have teeth pulled as a matter of course, as some others had done. I have rated Treatment Success as a "3" only because we are not done yet. He is not cheap, but in this case, you get what you pay for. In the long run, an orthodontic job done right can save you a LOT of money over one done incorrectly! Believe me, I know!