I just had my sleeve done at spokane rockwood clinic I had no problems with the staff after you get past the front desk crew. I only had a 3 week preop diet I was in hospital 2 days I think mostly because it's a 3 hour drive to get to spokane for me. I didnt have any problems with the surgery other than a very sore back. I go to my follow up appointment day after tomorrow. Post op diet is pretty boring all liquid diet. I do know if you don't follow your Dr. Instructions they will stop your surgery and at post op they will ask you to find another Dr. If you don't follow the instructions . You have to sign a Dr. Patient contract stating this. I talked to several others that had completed there surgeries in the office before I fully committed to my surgery. All was happy with rockwood.I hope this helps.