I had double MX with immediate reconstruction (DIEP Flap) performed by Dr. Ledoux. I travelled nearly 1,400 miles and I thank GOD I found this place. From my initial phone call, PRMA put me at ease and made my journey painless. They are METICULOUS in their process, from ordering test in your location, to setting up post-op prescriptions, to constant communication, submission of photos, you name it... They were incredible. Jonnie, Dr. Ledoux's assistant, is a DOLL. Dr. Ledoux is the ULTIMATE surgeon and gentleman. My breast look FANTASTIC!!! I'm constantly in the mirror!! Now I have a flat tummy and big breast!! I just LOVE Dr. Ledoux and Jonnie. I HIGHLY recommend PRMA if you are in the need of surgery.... they will make your journey a happy one!