After suffering with decreased left shoulder range of motion and increasing pain, I underwent a brief period of physical therapy as prescribed by my family doctor. When this failed to improve my shoulder situation, my doctor highly recommended I contact Dr. Toman. After meeting with Dr. Toman and his staff and undergoing a thorough assessment, my choices were limited. After two previous major surgeries on my spine(not by Dr. Toman)in the past two years, the last thing I wanted to consider was another trip to an operating room. After several visits with Dr. Toman, we determined that I would need a complete shoulder replacement and repair of the rotator cuff. Dr. Toman explained what he would have to do and what I could expect after the surgery. It has now been approx. 3 months since the surgery and I am glad that I decided to proceed. Dr. Toman and his staff, the hospital staff and follow-up care has been first rate with a emphasis on my well being and recovery. I have been very impressed with the entire process and would not hesitate to recommend Dr. Toman to anyone who is facing the difficult decision of shoulder surgery.