i am just starting 1st cycle IVF/ ICSI next month and i was really suprised as i expected the fs to be like you explained as a lot of experts are. but ours asked us to call him by first name and was very relaxed and friendly and i am very happy with him, if i was paying all that money to someone i wasn't happy with or had confidence in i would not be happy, are there any alturnatives for you?. i suppose that in some of the bigger cities you may be a number but you shouldn't be made to feel like that . janet