I walked in not knowing what to expect as I was a new patient. I was greeted by a very friendly, warm, and caring staff. Waiting time wasn't long. The front and rear portion of the office was very clean. Dr. Pakeman was very friendly and exhibited good patient-doctor behavior. He was very informative on the procedure and made me feel comfortable knowing I was in the proper hands. I cannot say how pleased I am with my new butt. Being sort of flat and fat all my life, this has really benefitted me in the most positive way. I'm extremely pleased and would recommend Dr. Pakeman to friends, family, coworkers, and all. Thank you Dr. Pakeman and staff at Manhattan Surgical Care.