My wife, after many years of back pain, Dr. Keihm was recommended by a relative. We made an appointment and we was immediately impressed by Dr. Keihm. Dr. Keihm set in motion everything necessary in order to help her. Every visit was informative and never was there any pressure to have surgery. Dr. Keihm put ALL alternatives on the table. After about a year had passed my wife decided that surgery was her only option. We discussed this with Dr. Keihm and he agreed to operate. My wife signed the papers and Dr. Keihm said he would call once scheduling was completed, but said even at that point she could change her mind. It has been about 1 year since Dr. Keihm performed surgery. My wife and I would definitely recommend Dr. Keihm.