Inguinal Hernia Surgery in Indore

Surgery with Dr Muffazzal Rassiwala

Inguinal If you notice abdominal pain, a visible bulge or discomfort that interferes with your daily life, inguinal Hernia surgery could be the solution you have been searching for. Shalby Multi Speciality Hospital in Indore, Dr. Muffazzal Rassiwala, a Consultant General, Laser & Laparoscopic Surgeon with 13+ years of rich experience. years of hands-on surgical experience. He is an expert in advanced inguinal hernia surgery with state-of-the-art 3D laparoscopic technology, laser-assisted techniques and open surgical approaches that are customized to your condition. Having undergone intensive training at some of India’s leading medical institutions and completed several surgical fellowships Dr. Rassiwala provides customized treatment regimens with credentials in FMAS, FALS, FIAGES pain, minimize scarring, speed your recovery and get you back to work quickly. confident and comfortable in your normal life. His patient centered approach and the most current surgical technology and trusted clinical expertise, we ensure you get world-class hernia care in Indore.

Why We Are the Best Choice Today?

Selecting the right surgeon to fix your hernia is one of the most important healthcare decisions you will make. Dr. Muffazzal Rassiwala has an uncompromising commitment to surgical excellence, patient safety and superior results. At Shalby Multispecialty Hospital, you can expect the latest surgical technology, experienced nursing support, full post-operative care and open communication throughout your treatment process. Call +91-8851463446 or book your consultation with Dr. Rassiwala today.

Call +91-8085010071 or Visit our clinic at Cabin No. 104 First Floor, Shalby R S Bhandari Marg, Janjeerwala Square, Indore, M.P. – 452003. Our team is standing by to answer your questions and help you understand your options for treatment.

Frequent Problems & Challenges

Patients undergoing inguinal hernia surgery have a series of interconnected issues that slowly their physical health, their mental well-being and quality of life. These common problems you are known to are the first step to understanding why professional surgical treatment is required for long term relief and
recovery.

• Physical Symptoms and Physical Discomfort: Pain and discomfort which varies from mild to severe depending on the most obvious manifestation of a hernia is the size, location, and personal pain threshold. This pain usually gets worse with activity, heavy lifting, prolonged sitting or straining with bowel movements. Many patients describe a dull ache, sharp stabbing pain or burning feeling in the area involved. Initially, the pain may be intermittent and patients may thinking it may improve on its own, but it usually gets progressively worse over time if left therapy.
• Limitation of activity and effect on lifestyle: Beyond the physical pain, hernias necessitate significant lifestyle adjustments. Patients avoid activities previously enjoyed—lifting grandchildren, playing sports, working out at the gym, or performing physical tasks related to their job. These restrictions combine to mean significant losses of independence, confidence and quality of life. Many a patients say they feel trapped between the pain of activity and frustration of forced inactivity performance is impacted if the job is physically demanding. Friends’ invitations decrease social engagement you into activities you can no longer safely engage in.
• Fear and Anxiety of Complications: Untreated hernias pose a real risk of serious complications. Strangulation occurs when blood flow to the protruding tissue is cut off, causing severe pain, nausea and possible tissue death requiring emergency treatment. Incarceration, the hernia is trapped and cannot be reduced, creating similar urgency. This constant awareness of possible emergencies creates background anxiety and fear that affect sleep, concentration and mental health in general.
• Delayed Diagnosis and Misdiagnosis: Commonly, many varieties of hernias are missed or misdiagnosed at first. Patients receive unnecessary testing, and get ineffective treatments and months spent trying to find answers. This diagnostic uncertainty is a source of frustration and postpones definitive surgical treatment. Patients see a specialist such as Dr. Rassiwala when they are have often already been suffering for a long time and lost confidence in medical providers.
• Failed Conservative Management: Many patients try conservative management with activity modification, medication or compression clothing hoping for a spontaneous cure of the hernia. It doesn’t. Surgery is the only definitive therapy. To put off surgery in favor of conservative measures, patients will spend months or years of treating symptoms, not the underlying problem. This delays their relief and recovery need ultimately.

What surgery is for inguinal hernia?

• The Definitive Guide to Inguinal Hernia Surgery: Inguinal Hernia Surgery is the surgical correction of a hernia, a condition in which tissue in the abdomen bulges through a defect in the overlying muscle or fascia. Hernias happen due to a combination of factors, muscle weakness (due to age, prior surgery, trauma or genetics), increased pressure within the abdomen (due to obesity, or direct trauma to the abdominal wall ( e.g. , chronic coughing , constipation , or heavy lifting ) The repair process to reinforce this weakened area by suturing, mesh placement or a combination of both, depending on the surgeon preference and hernia characteristics.
• Anatomical Background & Importance in Surgery: An understanding of the anatomy of hernia formation explains why surgical repair is required. The “The abdominal wall is composed of several layers, namely the skin, fat, muscle and a strong fascial layer (fascia) that provides structural integrity and support. When this fascia has a defect, abdominal contents (usually fatty tissue or intestines) can push through, making a bulge that can be seen and causing pain. The hernia is not healing spontaneously due to the absence of blood supply to the fascial defect for tissue regeneration. Surgical Treatment It is necessary to re-establish the integrity of the abdominal wall structure.

Types of Surgical Approaches

Modern hernia surgery employs multiple approaches, each with distinct advantages and applications:

• Laparoscopic Minimally Invasive Surgery: This approach uses small incisions (5-10mm) and a camera to visualize the surgical field on a monitor. Instruments are introduced through these small ports, and mesh reinforcement is placed behind the defect. Benefits include smaller incisions, less pain, minimal scarring, shorter hospital stays, and faster recovery. Most patients return to normal activities within 1-2 weeks.
• Open Surgical Repair: This traditional approach involves a single larger incision allowing direct visualization and repair of the hernia. The surgeon can inspect surrounding tissue, manage unexpected complications more easily, and perform simultaneous procedures if needed. Recovery typically requires 4-6 weeks, with more visible scarring than laparoscopic approaches.
• 3D Laparoscopic Technology: Advanced 3D visualization systems at Shalby Hospital provide enhanced depth perception and superior anatomical detail compared to standard 2D laparoscopy. This cutting-edge technology improves surgical precision, reduces operative time, and enhances safety during complex repairs.
• Mesh Technology and Modern Materials: Contemporary hernia repair relies heavily on surgical mesh—a biocompatible material that reinforces the repair and dramatically reduces recurrence risk. Decades of clinical evidence demonstrate mesh safety and efficacy. Modern mesh products undergo rigorous testing and come in multiple types:
• Synthetic Mesh: Non-absorbable materials like polypropylene and polyester provide permanent reinforcement. Extensive long-term data demonstrates safety and effectiveness.
• Semi-Absorbable Mesh: These hybrid products combine permanent and absorbable components, balancing immediate strength with gradual tissue integration.
• Biologic Mesh: Derived from human or animal tissue, these products integrate with your own tissue, creating natural reinforcement. They are particularly useful in contaminated fields or when synthetic materials are contraindicated.

Dr. Muffazzal Rassiwala selects the most appropriate mesh type based on your specific hernia characteristics, medical history, and clinical scenario, ensuring optimal outcomes and minimal complications.

Surgical Excellence and Technology Integration

The success of modern hernia repair depends not just on mesh quality but on surgical technique, experience, and technological sophistication. Dr. Rassiwala brings all these elements together. With 13+ years of experience, advanced laparoscopic training (FALS certification), fellowship in gastrointestinal endosurgery (FIAGES), and access to state-of-the-art 3D laparoscopic systems at Shalby Hospital, he delivers repair precision that directly correlates with reduced recurrence, improved patient comfort, and faster recovery

Benefits of Professional Hernia Repair in Full

• Permanent Problem Resolution: Surgical repair, unlike conservative treatments which manage symptoms, solves the root cause of the problem forever. The reinforced abdominal wall gives long-term structural integrity and complete removal of the hernia.
• Recurrence Prevention: Contemporary mesh-based repairs and experienced have recurrence rates of < 5% surgeons like Dr. Rassiwala achieve even lower rates with careful surgical technique and proper mesh selection This means that you can expect long lasting results that last for decades.
• Prevention of Complications: Surgical repair prevents life threatening complications like strangulation (blood supply is cut off), incarceration (hernia becomes trapped), and progressive damage to tissue. If treated early, emergency surgery can be avoided.
• Pain Elimination : The sharp or dull pain associated with your hernia will be completely eliminated after a successful repair. There will be no pain with physical activity, heavy lifting or exertion during the day.
• Functional Restoration: Once you have recovered, you will have a fully functional abdomen and will be able to return to all prior restricted activities without alteration or fear.

Benefits for Recovery and Lifestyle

• Quick return to normal activities: Laparoscopic repair enables resumption of normal daily activities within 1-2 weeks. “You can drive, work, exercise and do family activities much sooner than with open surgery.
• Minimal scarring: Small laparoscopic incisions (5-10mm) result in minimal visible scarring, unlike larger incisions prominent open surgery scars. In the course of time these small scars become almost invisible.
• Laparoscopic procedures usually allow for same-day or next-day discharge, which results in a shorter hospital stay and disruption to your life and working schedule. Open repairs might necessitate an overnight hospital stay.
• Early Mobilization Modern surgical protocols promote walking and light activity immediately after surgery, resulting in quicker healing, preventing blood clots and quickening return to strength. Less Pain Post Surgery: Smaller incisions and minimally invasive technique means significantly less pain post-operative pain than open surgery, resulting in lower analgesic consumption.

Psychological Well-Being and Quality of Life Benefits

• Restored Confidence: The visible bulge and associated pain are removed, restoring body confidence and self- Esteem, which is especially important for patients who used to feel self-conscious. Freedom from Anxiety Your hernia has been permanently repaired and you no longer need to worry about possible complications or emergencies.
• Unlimited activity: Return to exercise, sports, hobbies and physical work without any change or fear significantly enhances psychological wellbeing and quality of life.
• Relationship Enhancements: Often, freedom from activity restrictions and pain leads to improved intimate relationships, family involvement and social participation.
• Improvement of work performance: Patients with physically demanding jobs regain full occupational capacity, removing work-related restrictions or limitations.
• Career Advancement Opportunities: Physical recovery might open doors to new careers or promotions previously hampered by hernia related limitations.

Health benefits (long term)

• Durability and Permanence: The results of today’s mesh repairs are long-lasting, with most patients and enjoy a hernia free life forever.
• Avoiding Repeat Surgery: Very good short-term results mean that most patients avoid reoperation, avoiding reoperation, anesthesia, and recovery time.
• Protection Against Future Hernia Development The new abdominal wall is stronger than the original tissue and offers some protection against developing a hernia in other areas.
• Cost-effectiveness: Although surgery is an initial cost, the permanent fix is more cost-effective success over years of conservative management, multiple doctor visits, imaging studies and drugs.

Our Effective Treatment Process

Step 1: Initial Consultation & Comprehensive Assessment
Your journey with Dr. Muffazzal Rassiwala begins with a comprehensive consultation at Shalby Multispecialty Hospital. At this appointment, you are interviewed personally by Dr. Rassiwala. He will ask detailed questions about time of symptom onset, nature of pain, impact on daily activities, medical history, prior surgeries, allergies, and medicines. He does a thorough physical exam, taking a close look at the hernia and assessing its size and tenderness and identifying any complications. This thorough assessment enables him to understand your unique situation and begin to create an individualized treatment plan.

Step 2: Further imaging and assessment
To confirm the diagnosis and obtain detailed information regarding the size and the location of the hernia and surrounding structures, Dr. Rassiwala advises appropriate imaging studies. “Ultrasound is a great visualization tool without radiation exposure and is often sufficient for simple hernias. CT scanning gives detailed anatomical information useful in complicated cases or where concomitant pathology in the abdomen is to be sought. These diagnostic studies aid in accurate diagnosis, surgical planning, and the identification of any incidental findings that could influence treatment strategy.

Step 3: Individualized Surgery Planning and Discussion
After your clinical examination and diagnostic imaging, Dr. Rassiwala will devise a surgical plan that is tailored for you. He discusses both laparoscopic and open procedures, outlining specific advantages, disadvantages, and expected results for your particular case. He answers your questions, meets your concerns, gets your informed consent. This collaborative discussion ensures you know exactly what to expect and be confident with your treatment plan

Step 4. Medical Optimization and Preoperative Preparation
Our team provides detailed pre-operative instructions before surgery including dietary restrictions and medication Preparation Guidelines, Adjustments. You have pre-operative blood work and anesthesia evaluation to make sure you are in the best shape for safe surgery. Any known medical problems (high blood pressure, diabetes, etc.) are optimized prior to your procedure. Patients are given written instructions that clearly state what to what time to arrive and what to expect on surgery day.

Step 5: Advanced Surgical Repair with the Latest Technologies
On the day of surgery, you are admitted to Shalby Multispeciality Hospital and taken to the operating room. Dr. Along with the experienced surgical team members, Rassiwala performs your hernia repair using either advanced Planned 3-D laparoscopic technology or open surgical technique. If it is a laparoscopic repair, small The incisions enable the surgeon to insert the laparoscope (camera) and surgical instruments. Dr. Rassiwala envisions the on high-definition monitors in the surgical field and carefully places mesh reinforcement to repair the hernia.
Meticulous attention to anatomical detail and surgical technique throughout the procedure provides optimal durability of repair and patient safety.”

Step 6: Immediate Postoperative Monitoring and Care
After surgery you will be taken to the recovery room where our nursing team will closely monitor your vital signs, monitors pain and watches for complications. Most laparoscopic patients go home within hours or sleep in there. Protocols for pain management are in place for your comfort, and early mobilization (walking) is encouraged to ambulate to promote circulation and prevent complications. Detailed instructions will be given to you to follow after you are discharged, operative instructions, pain medications, and a schedule for follow-up appointment.

Step 7: Structured Activity Progression for Recovery at Home
You are provided with detailed recovery instructions for wound care, activity restrictions and expected Stages of Recovery Most patients feel little pain after laparoscopic repair, with discomfort managed by over-the-counter pain medications. On the first day you are recommended to walk slowly, increasing distance and time step by step. Light daily activities (easy stretching, walking around the house) are immediately resumed. Most patients can return to desk work and light activity in one week. tough activity, heavy lifting and strenuous exercise is limited for 4-6 weeks to allow for full tissue healing.

Step 8: Future Planned Follow-Up and Long-Term Surveillance
Follow-up care to support your best possible recovery. One week later you return to the office of Dr. Rassiwala post operatively to inspect and assess the wound. Two weeks later, your incisions are normally healing beautifully and activity restrictions are slowly lifted. All by six weeks most patients are back to normal exercises such as exercise and weight lifting. Annual checkups allow Dr. Rassiwala to confirm continued healing and to talk about any concerns This organized follow up care as well as your compliance with post operative instructions ensures the best possible and long-lasting results.

Why Dr. Muffazzal Rassiwala?

• Unmatched Surgical Experience and Credentials: Dr Muffazzal Rassiwala has a distinguished surgical background honed over decades of advanced training and practical experience. His ducational background – MBBS from the esteemed Madras Medical College, MS General Surgery Gold Medalist MGM Medical College MCH Pediatric Surgery consistent performer throughout his career, having received a Gold Medal from Lady Hardinge Medical College. His postgraduate training in Minimal Access Surgery (FMAS), Advanced Laparoscopic Surgery (FALS) and Gastrointestinal Endosurgery (FIAGES) provides him with the latest in minimally specialist assault. With over 13 years of surgical experience treating simple to extraordinarily complex cases, He has a mastery that translates directly into better patient outcomes.
• Recognition & Professional Achievements: Dr. Rassiwala is known for his excellence in the medical community and government. Received the Chief Minister Award for excellence in service during COVID-19 pandemic, gratitude from Indore Police for community service and the Bhushan award for outstanding medical contribution. His study in contributions to the surgical literature, with publications in peer-reviewed journals on pediatric surgery, oncology, trauma, and minimally invasive techniques—keep up to date with intellectual engagement on the field. Innovation and his best paper award at the Indore City Annual ASICON awards Surgical excellence.
• Best-in-Class Facility & Technology: The state of the art surgical infrastructure is available at Shalby Multispecialty Hospital. The 3D laparoscopy systems stand for the latest technological advancement, offering improved visualization and better surgical precision. In operating theatres, modern monitoring technology is used to ensure patient safety. Post-op Recovery areas offer full comfort and monitoring. The hospital upholds strict infection control protocols and works with all mediclaim insurance schemes, corporate tie-ups and government healthcare programmes like Ayushman Bharat and CMRF guaranteeing healthcare access regardless of financial circumstances.
• Integrated Patient-Centered Care: In addition to technical surgical expertise, Dr. Rassiwala is dedicated to providing complete patient support throughout your treatment path. He offers extensive counseling before the surgery, ensuring that you understand your options and feel knowledgeable. Communication stays transparent and accessible — he answers questions thoroughly, addresses cares about you and involves you in treatment decisions. Scheduled postoperative care includes appointments to follow-up, telephone support available and clear instructions about what to expect in recovery. The first approach creates a supportive, informed and confident environment for your care.
• History of Better Outcomes: Dr. Rassiwala’s combined experience with modern surgical techniques leads to hernia recurrence rates below 5%, results that rank among the best in the field. Patients have consistently reported high satisfaction with the results of their surgery. minimal pain after surgery, fast recovery and excellent cosmetic results . Happy testimonials patients reflect his commitment to quality and patient-centered care.
• Tailored Treatment Strategies: Dr. Rassiwala understands that every patient and every hernia is different and creates customized treatment strategies individual anatomy, medical history and personal preferences. Whatever your best approach is advanced 3D laparoscopic repair or open surgery, he chooses the most appropriate technique for your situation. This customized treatment ensures that you receive the precise treatment that best fits you

Industry Insights & Trends

• The Minimally Invasive Revolution: Hernia surgery has dramatically changed over the last 20 years. Surgical science has decisively shifted toward minimally invasive approaches, with laparoscopic repair now representing the gold standard for suitable candidates. This revolution is founded on overwhelming clinical evidence: laparoscopic techniques provide better results in several dimensions compared to conventional open surgery. lower post-operative pain, faster recovery, fewer infections and higher patient satisfaction always prefer the least invasive approaches. Laparoscopic surgery now is a focus of surgical training expertise as a core skill, and patients increasingly expect less invasive treatments.”
• Leading Technology: 3D visualization systems are the latest technological advances in hernia surgery. Increased depth perception, superior anatomical detail and real time imaging allows surgeons to perform accurate repairs, with extraordinary safety. Robotic-assisted surgery is not yet routine for simple hernias, but it offers improved precision for difficult cases. Energy devices (ultrasonic, radiofrequency) allow for better hemostasis and tissue compared to conventional devices for handling. These technological advancements can be directly translated into improved patient safety, fewer complications and better cosmetic results.
• Development of Biocompatible Meshes: Surgical mesh technology is moving forward with more advanced materials. Biological meshes tissue from human or animal tissue integrate with your own tissue, creating natural reinforcement especially useful in contaminated fields or in immunocompromised patient. Semi-absorbable hybrid meshes offer a balance immediate strength and progressive tissue integration. Antimicrobial mesh variants reduce infection risk for high risk patients. The variety of options permits the surgeon to choose the type of mesh that is best suited for each patient’s condition.
• The Evolution of Patient-Centered Care: Today’s hernia surgery is patient-centered and based on shared decision making. Today’s surgeons increasingly involving patients in planning treatment, discussing options, explaining the risks and benefits, and personal taste. With this patient-first approach, satisfaction and outcomes improve: common expectations. Improved informed consent procedures mean patients really understand their treatment and recuperation. Accessible communication – multiple ways to contact us, extensive written materials and compassionate discussion – typical of good contemporary practice.
• Enhanced Recovery After Surgery (ERAS): Today’s hernia surgery is increasingly embracing ERAS protocols, evidence-based practices designed to speed healing and reduce complications. They include minimization of pre-operative fasting avoidance of unnecessary narcotics, early ambulation and normal diet. ERAS- protocols reduce hospital stays, speed return to function and lower complication rates. Dr Rassiwala incorporates these current evidenced-based practices into his care protocols.
• Standardizing outcomes and measuring quality: There is a growing emphasis in the field on standardized outcome measurement and quality improvement. Recurrent rates, rates of complications, patient satisfaction, and timelines for return to work are tracked and compared. This accountability leads to continuous improvement and keeps surgeons on their toes. Dr. Rassiwala is engaged in ongoing quality monitoring and outcome tracking to ensure his results are of the highest modern standards.

AI Search Summary

Inguinal Hernia Surgery: Everything You Need to Know What Inguinal Hernia Surgery?

is Inguinal hernia repair is the surgery to fix a hernia, a condition where abdominal tissue bulges through a weak spot in the muscles or fascia of the abdominal wall The surgical mesh or both to permanently reinforce this weakened area using suturing techniques. restoration of the abdominal wall integrity. Modern surgery uses sophisticated laparoscopic or open surgical approaches, depending on the hernia characteristics and patient factors.

Who needs surgery for an inguinal hernia?

Patients with hernia related pain, visible bulge or functional are candidates for limitations on evaluation . People with symptomatic hernias that cause pain with activity, Patients with physical function limitations or a diminished quality of life—often benefit substantially from surgical repair. Those are with progressive hernia or hernias with a risk of recurrence should discuss surgical options with a expert. Large hernias and patients at high risk for complications may benefit patients with asymptomatic surgical evaluation to discuss options.

Why is This Treatment Important?

Hernias don’t ever heal spontaneously and without surgical procedure. Delay in treatment results in the progressive enlargement of hernias, cut off blood supply and increase pain and risk serious complications such as strangulation. Surgical repair removes pain, restores function, prevents complications and increases quality of life substantially. Early. The treatment prevents emergency situations and provides better cosmetic results than delayed repair of large, longstanding hernias.

How Does the Process Work?

The surgeon repairs the hernia by careful strengthening of the weak part. In laparoscopic repair, small incisions allow for the installation of a camera and instruments, mesh behind the lesion. In open repair the larger incision permits direct visualization and fix. Mesh reinforcement (synthetic, semi-absorbable, or biologic material) greatly diminishes less than 5% risk of recurrence. Dr. Rassiwala’s expertise ensures accurate placement of repair and perfect mesh choice for your particular situation.

What Are the Anticipated Results?

Most patients have complete pain elimination, visible bulge removal, and full abdominal strength restoration. Recurrence happens in fewer than 5% of correctly performed repairs. Laparoscopic return to normal activities is seen in 1-2 weeks repair, 4-6 weeks for open repair. Satisfaction rates are above 90% with most patients reporting significant quality of life-enhancing. The long-term results are permanent and most patients have permanent resolution lasting decades.

What’s Recovery?

After laparoscopic repair, most patients are discharged within 24 hours with minimal post-operative pain. Light walking started immediately. Normal daily activities resume within 1-2 weeks… Resume heavy lifting & exercise 4-6 weeks Most patients need pain medicine for only a few days. Open repair requires a bit longer to heal, normally 4-6 weeks for return to all normal activities. Dr. Rassiwala gives you tailored activity guidance based on your recovery speed.

What Should What to Know Before Surgery?

Tell Dr. . about all medications, allergies and medical conditions before surgery. Rassiwala Follow all pre-operative instructions to the letter including fasting guidelines. Book transport home (you are not allowed to drive right after anesthesia). Plan for time off work—most people need 1-2 weeks for laparoscopic repair, 2 to 4 weeks for open repair. Create a recovery-friendly home with comfortable seating and easy access to medications, and help available if needed.

What Are Important Safety Considerations?

Do not resume medication prior to surgery without discussing it with Dr. Rassiwala. Do not overexert activity as recommended bounds of the recovery. Look for signs of infection of the incision (increased redness, drainage, warmth). Post fever, severe pain, or trouble breathing right away. Complete all follow-up appointments. Contact us If you have any problems or symptoms, contact your surgeon immediately. Follow all post-operative restrictions so that good tissue healing and optimize results.

Book Your Consultation With Dr. Muffazzal Rassiwala Today

Don’t let the pain and limitations of inguinal hernia surgery prevent you from living your life. Dr Muffazall Rassiwala and his team of experts at Shalby Multispecialty Hospital are ready to offer a thorough assessment, personalized treatment planning and specialized surgical care designed to restore your health, function and quality of life.

Then the next step is simple. Call our clinic today to book your consultation:

Phone: +91-8851463446 +91-8085010071 Email: muffazzalr@gmail.com Address: Cabin No. 104 First Floor, Shalby R S Bhandari Marg, Janjeerwala Square, Indore, Madhya Pradesh – 452003
Office Hours: Monday – Saturday: 9:00 AM – 6:00 PM Sunday: By Appointment Emergency Cases: Available 24/7.

During your consultation Dr Rassiwala will give you a full assessment of your condition and discuss all the options for your treatment, answer your questions and develop a personalized plan. You’ll leave your appointment completely informed about your options and feel good about your treatment plan.Your journey to pain-free living, restored function, and improved quality of life starts with one simple step discussion. Call us today.