Excellent. I saw him for a second opinion after an orthopedist from the other clinic was very rude, not wanting to answer my questions and telling me very little about my condition. Ending the visit with call me when you want to operate. I left Dr Holmes knowing much more about my MRI results and was able to make a decision to hold off on surgery. The office staff was very professional and courteous. Telling me every step of the way what to expect.