Advanced Foot & Ankle of Virginia

Dr. Vazales is one of the best doctors I have seen (in any specialty). He is very professional, extremely knowledgeable, and a wonderful communicator. That he loves his work is evident. He is very patient and will happily spend time to ensure his patients' needs are met....whether in understanding anatomy or any procedure which is recommended.

Dr. Vazales is a great podiatrist. My previous board certified podiatrist was the best in the state, and unfortunately he is retiring in 2 weeks. Going to Dr. Vazales’s office after having a serious accident with my feet was the best decision I ever made. The office manager got me in right away, His knowledge and explanation of diagnosis and treatment are exceptional. He is extremely easy to talk to, and when you leave the office you feel very happy and completely satisfied.

Dr v is the most caring n knowledgeable person i have ever dealt with i highly recommend him as a person and Dr n a friend

Dr. Vazales and Melanie were incredibly friendly and easy to work with. They saw me right away for an ingrown toe nail. I would highly recommend them.

Doctor took time to listen, provided needed guidance and was polite, courteous and respectful. If needed I will revisit this doctor.

Good visit. Dr. Vazales provided treatment options along with pro and cons.

Simply the best!

Wouldn’t go anywhere else. I’d choose Dr Vazales as my primary care provider if he’d let me.

Dr. Vazales was wonderful. He took time to sit with me and explain different possibilities that could be happening. Prescribed a simple first step of treatment instead of going straight to needing surgery. He was very kind and personable. I will definitely be going back to him when further treatment is needed.

This was the first time I met DR. V and Mrs. Mel. The office was clean and they were prompt, courteous and professional. I will be using them again as needed and I highly recommend them to others. JG Richmond

I went in to see Doctor V to get a shot in my right foot to relieve some discomfort. He is an AWESOME doctor !! Great personality , he always listens , explains everything thoroughly and genuinely cares about all his patients. I even mentioned him to my 19 year old son yesterday , as to how great of a person he is !!

Excellent

Dr. VAZALES knew his stuff. Really helped me figure out what was wrong with my foot

Dr. Vazales and Nurse Melissa are the best ever. They genuinely care about the patients. I recommend them to family and friends. Very professional practice.

Listen to my concern carefully and then explained everything so that I understood the situation. Appreciate the courtesy of the front desk as well thank you.

Dr. V is great. Thorough, takes the time to explain the pathology of the condition and all treatment options, conservative and surgical as well as prognosis.

Ontime and great care.

Dr. Vazales is wonderful as well as his receptionist! I appreciated how he thoroughly explained everything, his honest opinion and the time he allowed for me to ask questions. I never felt rushed during my entire visit. A very friendly and professional individual.

C

The care I have received has been excellent. I would recommend them highly.

Dr. Vazales is always kind, attentive to my issues, and gives me an excellent description of the problem and how to fix. Strongly recommend!!

Doctor V was knowledgeable and helped me to better understand and heal from my injury. The office staff was pleasant and the time I had to wait to see him was well worth the care provided. I could not possibly recommend him with more enthusiasm. He's top notch!!!

If I could I’d give Dr. V 10 stars I would. After an orthopedic doc not only failed to improve my hammertoe but left me with continued pain and eventually more issues, I was at a loss. As my pain worsened, I searched for a reputable surgeon who wouldn’t treat me as a number but as a person, and finally found Dr. Vazales. Not only is Dr. V an exceptional surgeon, his bedside manner is bar none. There was no rushing me in and out, no short answers, no feeling like I was an annoyance, as happened with my ortho doc. He spent considerable time explaining my issues, why the previous surgery failed, and provided a conservative treatment plan to start - which I really appreciated - as another surgery wasn’t appealing. Once the conservative approach ran its course with limited success, Dr. V thoroughly explained what my surgery would look like, how long recovery would be, etc. And due to the mismanagement of my 1st surgery, this one would be quite major - but I trusted him and he didn’t let me down. As I write this, I am 43 days post-surgery and thriving! One more week in my CAM boot then it’s off to PT! If you’re having any foot or ankle issues, do yourself and your feet a huge favor and call Dr. Vazales - you’ll be so glad you did.

Everyone was professional and courteous. Will return if needed in the future. Highly recommend. Thanks!

Dr V. is a very caring and compassionate doctor. He was very helpful and provided me information needed on my care in a very easy and understable manner. He was concerned on my progress and ensured my recovery remained on track. I would recommend his care to anyone.

Great

Dr. Vazales was able to locate the problem in my foot that 2 other doctors could not find in 8 months of visits. I wish I had gone to him first ! Robert T, Cosby, Jr

I have had so much pain in the ball of my L foot and traveled up 3 toes due to Morton’s neuroma which had. Even going on for 5-6 years. Saw another MD, said surgery or live with it. It began to prevent me from riding. Yesterday I had a cortisone injection and today no pain and I tested it out with some long trots and canters. It feels great. Highly recommend Dr.V

Dr. Vazales and his staff are actual angels. They’re just the best.

DR. V recommendations for the treatment of my PF pain were spot on. The Injection was 20 seconds of worthwhile pain. Foot 98% better today. Thanks

The best Dr, goes above and beyond. Dr,V is the most caring compassionate Dr who truly cares about his patients. My daughter could not have gotten a better Dr. I recommend Dr.V hands down.. A great Dr and a great surgeon!!!

I have/had terrible pain in my left heel and in my feet in general. I had been to another foot doctor without any relief. Dr. Zavales identified the problem(s) immediately and described treatment options with me. I left the first visit with no heel pain! Very pleased with the professionalism of Dr. Zavales and with the incredible knowledge displayed.

Excellent care for my 11-year-old.

Dr V is a stand up, compassionate, skilled surgeon whose dedication to his patients is unmatched.

Excellent care! Staff is wonderful, very knowledgeable and puts the patient first. Highly recommend this practice!

After a traumatic fall left me with a fractured and dislocated foot I was referred to Dr. V’s office by a friend. My initial visit was informative and filled with a sense of compassion and care by Dr. V and his team. I felt at ease with the decision to move forward with surgery. Dr. V and Melissa are both a breath of fresh air!

This is the place to go for any foot or ankle issues. They are prompt, professional, and compassionate providers. Highly recommend!

Dr was very knowledgeable

I felt very comfortable

1st time with Dr. Vazales and I thought he was great with explaining things to me...I would recommend him to any patient....

Dr. Vazales is so caring! You can tell he loves what he does. I've seen him for a few years now and pray he NEVER retires! In my opinion, having a good foot doctor is waaaay more important than having a good hairstylist! You don't realize how important your feet and ankles are until you stub your toe, well you know what I mean! Grateful to have found him! His front desk person, Melissa is also great! They make you feel welcome!

Dr Vazales is an awesome podiatrist. He is very knowledgeable and educates his patients. He cares about his patients and it shows through his work. Very pleasant atmosphere, and his assistant is very kind. I am very happy that he is my podiatrist!

I've gone to multiple doctors and they couldn't figure out what was wrong with my toe. Then I found Dr. V and he found that I fractured my toe from a fall last year! Thanks Dr. V!!

Dr Ryan Vazales , is like an angel from Heaven. His experience is Profound. Highly recommended

Dr explained the condition and treatment in depth and was ready to answer long standing questions that no one else had ever done. I found him very easy to talk to. The staff was very pleasant. The office was clean and bright.

I love Dr. V!! He has helped me and I appreciate him for that!! I would recommend him to anyone!!

Dr. Vazales is awesome! He is very patient and explains everything. I would highly recommend him!

Dr. V and his staff made me feel very comfortable, recommended another specialist in another field. I felt like he listened well to my concerns.

Dr. Vazales was great! He has great bed side manner, a sense of humor, and was quick and thorough. One of the best visits I've had with a medical practitioner in a very long time!

Very personable and clear on diagnosis. Also appreciated the timeliness of being seen.

As always, Dr V is the best. He is not just a foot and ankle surgeon, but a trusted friend.

Very thorough and really listened, thank you Dr. Vazales.

Upbeat. Good explanations. He listens

Worked me in when I was in pain. Always courteous and professional as well as personable.

Dr. Ryan is wonderful at his job with great experience. He helped my fear while explaining what the problem was and the procedures to help. Very professional, comforting, and understanding!

Prompt, well explained what I asked about, told in detail what problem was and told in detail what would be needed if reoccurring

Dr. Vazales was very professional and thorough in helping with my foot injury. I have already recommended him to others.

Expected to hear that I need surgery for my bunions and that was not the case. Dr. V was very knowledgeable and I like that he did not try to push extra services on me.

Dr.Vazales is the best! He diagnosed my problem and performed surgery to get me walking again. He cares so much for each patient and wants them to have the best outcome possible. I highly recommend Dr. Vazales!

Very nice and explained everything. When I had ideas that were bad he politely told me so then broke it down and always gave me his perspective and different options.

Dr. Vazales is amazing! Very courteous, professional and gets straight to the issue with a solution that fixes the problem. He should be your ONLY choice of podiatrist when/if you have any foot problems.

Very thorough examination and left me with confidence that the Doctor will come up with the best treatment plan.

Excellent, honest, and friendly physician and office.

Dr V is the BEST and Mel too❤️ I am grateful to have found them!! I came from Fl and was concerned about the "right" Dr..Dr V is knowledgeable and trustworthy! He explained everything to me Took time And listened!! Thank you so much! I highly recommend this doctor!

Thank you. Definitely recommend Dr. Vazales.

I like the way Dr V looks at the problem organically, analyzing each symptom & description for a clinical diagnosis that matches findings. It feels right.

Best doc ever! Fantastic

Amazing every single time!

The doc was very caring, didn't rush me, and took his time. As soon as I described how the issue I was having felt. (Felt like a rock in my shoe that I was carrying around with or without shoes) He knew immediately what was the cause. He done a thorough exam to make sure there were no other issues before he treated my foot. Also, the receptionist was awesome. She had a good sense of humor, (so did the Doc) and made check in and check out a breeze. I would definitely recommend him to anyone having foot or ankle issues. Finding people who actually care is becoming a rarity now a days. The Doc and his team do care and I'm so glad I found them.

Dr Vazales is very good. Worked with me on my foot issue and solved the problem within minutes

When we met Dr Vazales, he greeted us as though he had known us for years. His personal relations skills are superb. He was very thorough in explaining my medical condition. He used layman's terms so I could clearly understand. I highly recommend Dr. Ryan Vzales.

Dr. Vazales was friendly and nice and took the time to explain the anatomy of my foot. His suggestion to correct the problem was one I had mentioned that I already tried, and I have not found relief from the pain. I will try an orthopaedic to see I can get to the cause of the problem.

Dr. Vazales was very easy to converse with. He was professional and knowledgeable about my problem. His advice was well taken and easy to follow. Even with my age, he gave pertinent information about why I was having the problem I described to him. I will highly recommend him.

Always a great experience. Dr. V. is excellent at explaining both my issues and what he is doing to help them, as well as what I need to do. And the office is well run - it is easy to get an appointment in a timely manner, and once I arrive I am seen quickly.

Dr Vazales is the best. Always a great visit.

Dr. Vazales is the best! He took his time with my very complicated foot problem. He explained each procedure thoroughly before he performed the procedure. He's truly wants his patients to get better. Highly recommend him.

Would highly recommend this doctor to anyone I know! He listens well& knows how to interact with children. He is very knowledgeable & his staff is also very competent. Awesome experience!!

Great listener and not afraid to tell you how it is.

Dr. V takes time with you. He tells you everything that he is going to and makes sure you understand what he is doing .

Top of the line doctor and staff

The entire experience from the moment I walked in was fantastic. Dr.V and the receptionist was friendly and efficient. Dr. V was not only knowledgeable but also took the time to address all my questions and concerns. I left the office feeling confident in the care I received.

Dr. V, as I have come to know him is exemplary in the care that he provides to his patients! His attention to detail and the little things makes a big difference in the outcome. It’s been almost 3 years since his quick thinking, informative advice and surgical skill set, coupled with faith and prayer made a life-saving and life-changing difference in my life! Thank You Dr. Ryan Vazales & Melissa! I Appreciate You So Much!!! God Bless You!!!

I loved my first visit!! I got more information on my injury than the previous doctors.

Dr V is sharp as a tack and very personable. I should have gone to him sooner, as it would have avoided a lot of needless worry. As soon as I finished my appointment I called my wife and told her to get an appointment for her foot problems, which she did.

A welcome change from the medical industrial complex.

Always accommodating and professional. Have had several family members treated by Dr.Vazales. We highly recommend him for your foot and ankle issues. His assistant is also very nice and welcoming when you get there.

Enjoyed meeting Dr Vasales and his office manager. He was easy to talk to about my foot problem and very good at explaining the procedure. He was very quick and no pain! I would highly recommend him to anyone needing a Podiatrist!

Very nice and personable experience

Respectful, knowledgeable, considerate and kind. Diagnosed and treated me in the same appointment. Educated my partner on how to treat the problem in the future, and still left time for conversation and questions. No ego. No salespitch for the latest surgical fad. Just a positive experience. Thank you. Patient for life.

I’ve always had a great experience with the staff and Dr. V. They are both super friendly, and Dr. V takes the time to really talk with you and address any concerns you have. I highly recommend advanced Foot & Ankle practice.

Great all good

Went in for an infected ingrown toenail I had not realized how bad it truly was, got it numbed up superbly (and his needlework was stellar! Didn't even feel it go it) got the toenail extracted and IMMEDIATELY felt worlds better. Need anything done with your feet? This is the place to go to, extremely knowledgeable and walked me through what they were going to do before they did anything.

Awesome...period!

Dr. Vazales has always been very personable and friendly. And I would recommend him to anyone. And his secretary/assistant Melissa is excellent. Always a smiling, friendly face when you walk into the office.

I appreciate all of the that time Dr. V spent with me explaining his plan to address my gout. He is very knowledgable with great interpersonal skills.

I have been a patient of Dr. Vazales for 3 years. When I had a concern this week, his receptionist worked me in right away. Dr. Vazales listened, addressed my concerns and took care of the problem. He is so personable and a great doctor! I strongly recommend him for his great expertise and caring attitude.

The doctor was very helpful.

Dr. Vazales is such a nice person and he fully explains the problem and how to fix it. Best of all he’s very careful to cause as little pain as possible. He was recommended to my wife by friends when she needed a podiatrist and that transferred to me. Believe me, if you have a foot or ankle problem, this is the guy to call!

Dr.V was so knowledgeable about what I was going through with foot pain. I have now a positive attitude to fight this foot issue. He explained what the issue was and will visit my neurologist to get on with my treatment. I was getting so depressed with my condition and Dr. V gave me big boost in getting to the bottom of what’s happening with my nervous system and how it affects my feet.

Good

Simply the best!

Clean, friendly but professional. Feel so much better about my foot situation. We have a plan.

I wouldn’t trust my feet to anyone else.

Genuine care for me as a patient

My initial appointment with Dr. Vazales was for help resolving a failed toe surgery from late Feb. 2023. The experience I had with Dr. V. compared to my orthopedic surgeon was light years apart. Dr. V explained in detail the structure of my foot, why the surgery failed, other issues contributing to my overall pain and discomfort, showed me the imaging (my ortho surgeon never shared these with me) and most importantly - he did it in an extremely professional yet thoroughly caring, human and easy-to-understand way. His compassion, and passion for doing the best for his patients, is evident from the get go. The time he spent with me over just two appointments was more than the time which was spent with my surgeon over the course of months of follow-up appointments. Call Dr. V - you won't regret it. Thank you Dr. Vazales for your passion, compassion, and expert knowledge of the foot - you are exceptional!

As a woman in my 60’s I have a lot of questions and concerns. Dr. Vazales is very knowledgeable and personable. He took his time answering my questions and explained the details of the various options available to me to resolve my issues. Of course the cortisone injection I had to get me through until surgery hurt, but he was so kind and through.

Excellent care and advice

First time with Dr.Vazales. Excellent explanation of my issue. Very patient and thorough examination and good treatment plan in place. Would highly recommend.

‘The Best it could be!

Dr. Vazales is amazing! He is so thorough and helpful and kind! It is wonderful to have a healthcare practitioner who is not part of a big chain. Both my husband and I had great experiences and would highly recommend.

Very professional and caring

Very informative

It starts with Mel (she is the entire staff). The ease of scheduling your appointments to coordinating your surgery - she does it all. Dr. Vazales Is wonderful. He explains what is the best course of treatment you will need in a way even I understand. And I have full confidence in the outcome he has mapped out.

My son was given the best care! I highly recommend Dr.Vazales. Melissa is so friendly. I can’t thank them enough for taking care of my son Lance.

Dr V is similar the best!

Dr. Vazales is the best. Can't say enough good things about Dr. Vazales.

he is the BEST!!!!!!

Dr. Vazales is a wonderful doctor. He listened to me, assessed my needs, shared helpful information, and encouraged me. I’m so glad that I found him. I highly recommend him.

Dr Vazales is one of the best doctors I've seen in a long time. His knowledge and expertise combined with caring and compassion makes him be the best in his profession

Amazing from check in to the Doctor! Dr. Vazales is extremely knowledgeable! He has so much compassion for his patients! Thank you for everything!

Fantastic appointment. Dr. Vazales is super nice and made my 5 year old very comfortable. She’s very shy & actually responded to him a few times when he asked questions - that’s big for her. We will be back when she’s older if her issue doesn’t resolve on its own.

The lady that I talk to was very nice helping me with my insurance.He even called me after hours to let me know she ran my insurance. The Dr was great upfront and honest.

My experience is always pleasant. Great bedside manners. Always explains answers to my questions. Best welcome and good byes, as soon as you enter the facility.

The absolute best!

Very knowledgeable and efficient doctor.

Dr and staff were awesome!!! very nice and welcoming. Dr knows his stuff and I was very comfortable knowing that I was in good hands. Will continue going to see him!

Very friendly and helpful.

Great Doctor my favorite of all time . He sits there and talks to you and listen to everything that you have to ask him . And I have been seeing for a few years now and I go a half hour out the way to be seen by him .

DR VAZALES IS THE #1 DR IN MY BOOK. HE EXPLAINS EVERY DETAIL ON WHAT HE NEEDS TO DO. HE IS VERY PLEASANT AND CARES ABOUT HIS PATIENTS. HE IS THE BEST . MELISSA WHO WORKS WITH HIM SHE IS ALSO VERY HELPFUL . THE BEST OFFICE IN THE WEST END. I CANT THINK THEM ENOUGH FOR ALL THEY HAVE DONE FOR ME. BEVERLY ROBERTSON

Dr.Vazales was very helpful!

Love how he explained things so I could understand them!

Its was a Maisie job

Dr. Vazales gets a 10+ rating. I have been seeing another pediatrist for years thinking I had Morton's Neuroma. I was given a list of shoes I should buy to ease pain in bottom of foot. The last visit to former doctor I left office with prescription dose of Voltaren to put on bottom of foot. Pain only increased, and I felt it was time to find new doctor. Dr. Vazales examined foot and within 5 minutes told me it was not Morton's Neuroma but Intractable Plantar Ketatoma (IPK). In next 5 minutes or less he removed the core with scalpel, and I was on my way. He explained it would return, but now I have relief and know there in treatment beyond wearing Sketchers or other cushioned shoes . Dr. Vazales is a top notch pediatrist He thoroughly explained problem, treatment, and what to expect going forward. He knows feet! He was incredible! I went into appointment thinking I needed a major surgery and left his office in less than half hour pain free! Highly recommend Dr. Vazales if you have foot problems.

Easy appointment system and new patient sign up. Professional and friendly.

Friendly and professional. Easy apply booking.

Wonderful! Dr.V knows his stuff! Staff is very friendly and helpful!

Hi

The very best experience I have had at a doctor’s office. Unbelievable!! I have had severe pain in my right ankle for quite awhile. My chiropractor, Dr. Cherine suggested I have the ankle X-rayed. My appointment was made that day. Dr. Vazales asked the right questions, X-rayed the ankle, explained in detail what the problem is and the plan to relieve the pain, beginning with an injection. Today, there is no ankle pain. I have to believe it was meant to be. Dr. Vazales and his assistant, Melissa, were wonderful.

Dr. V is a great listener and very helpful. I highly recommend him as a podiatrist.

Dr. V is very attentive and understanding.

Very attentive.friendly,carolina hurricanes fan.

Very nice doctor and receptionist. Dr. V takes time to listen and address your concerns. I was impressed.

Dr. V very knowledgeable, answered all of our concerns, a welcoming reception overall.

Dr Vazales and Melissa are the best . He is a great doctor and listen to what you have to say and explains things to you . Best Doctor out there.

The absolute best!

Very knowledgeable, friendly and efficient.

Dr.Vazales was very knowledegable about my foot problem. He was thorough & made me feel very comfortable. I trust his treatment instructions completely. He has a very good "bed-side" manner.

Short wait. Informative visit.

The experience was very personal and professional. I enjoy every visit.

He is the best Doctor hands down we have a plan for my sons care and I’m completely comfortable with him and trust him with every aspect of care for my son and even my family I would never to another foot doctor when the best is right here in town you Rock Dr.V

Very thorough and not rushed.

Dr V is very personable and easy to talk with. He makes being at a Doctors office not so horrible. Melissa is joyful and super helpful. Highly recommend this practice! You won’t be disappointed! ⭐️

Dr V is very personable and has great knowledge. Extremely easy to talk to and helpful. Melissa is joyful and welcoming. Thankful for the recommendation from a friend. Highly recommend!!

Absolutely the BEST DOC a patient can have! He is a genuine person who cares for his patients!

Straight forward very friendly good bed side manner cares about his patients highly recommend him as a surgeon n a friend

Dr "V" as I call him is very thorough in everything he does. Always makes sure that I get

Between him and swell mel I cant begin to say how much this office cares for their patients

Everyone is so nice there

It was totally awesome! Dr. V is gentle and talks you through the procedure—he is gentle, but also know his stuff and efficiently performs his exam and procedure. The office is quiet and Calm and pleasant. None of the white coat rushing through your appointment and treating you impersonally. I wish all doctors operated like advanced Foot and Ankle!

Great

No wait time. Very friendly environment Dr Vazales is very knowledgeable and has great curls! I would absolutely recommend this practice.

All great - good.

Timely explanation and successful treatment. Thanks

Dr. Vazales and his nurse Melissa are the best—better than all the rest!

Great

Dr. Vazales takes the time to explain things. He and his staff are very pleasant. Been to Dr. Vazales in the past and went back to him for a different foot problem. Have total confidence in him.

Dr explains everything in detail and made me feel very comfortable with the treatment plan. Finally back to running comfortably and it was all because of him!

Dr. “V” was very professional, confident, and patient in implementing my foot treatment. My wife accompanied me and also booked future appointment.

Dr. Vazales is the best. I went to urgent care on s Friday for pain in my foot. I was told to see my podiatrist as soon as possible. I contacted Dr. VAZALES when I could not get into MY podiatrist for more than a week. I am so glad I went to him. Dr. V asked me questions, took X-rays and I was told I had fractured a bone in my foot. Dr. V has a great personality, he is very informative and the front desk employee is also wonderful to work with. Thank you Dr. V for seeing me on such short notice.

Very pleased with Doctor Versales (sp?) incite, treatment, and medical advice.

I really like everything about the office and the people the doctor explained to me exactly what was going on with my foot and I understood it

Always caring and professional service.

Very professional and personal care.

Great Doctor and staff. I feel so much better now. Thank you Dr V.

Dr. Vazales was very friendly and personable. He listened intently to my concerns and explained the details of my diagnosis and the options that I had. Would definitely recommend for your ankle and foot needs!

Dr V has been very helpful in helping me heal my foot issues. He is very proficient at explaining the problems and showing how to care for my feet while healing. I trust his knowledge and expertise and highly recommend him as a podiatrist.

Dr Vazales is doing a great job takin care of my father during this process we're very happy having him

Dr. V is amazing! I can’t say enough good things about him. He really cares about his patients and their needs.

Dr. V was fantastic! He really listened to me during my visit. The office was clean, staff was friendly, and the scheduling/paperwork was a breeze. I’ve been to a ton of doctors and I appreciate all of these elements. More docs/offices should take notes on how they run their ship. I got a very quick diagnosis and understanding of my situation and symptoms and he explained my treatment options and solutions thoroughly. I highly recommend Dr. V!

Very informative

Such a cool doctor . Takes his time and really cares . So glad we found him .

Great. Dr. V was very patient and answered all my questions. Mel was great too. She was very friendly and helpful.

Fast, Friendly, Great Service

.

Nice experience, very congenial doctor and he got the job done.

Wonderful! Staff and physician are very friendly, efficient and effective. I used another Podiatrist before, am so glad I found Dr. V! His approach and methods are a breath of fresh air!

Dr. Vazales is the best

Very nice and knowledgeable!

Dr. Vazales is amazing. He is kind, skilled, and knowledgeable. He takes time to explain procedures, answer questions, and offer reassurance. Appointments are set quickly and Melissa, office manager, is exceptional. My surgery went very well and I am so happy with the results! I had been living with a botched surgery result for 10 years. Dr. Vazales fixed it and improved my quality of life. I highly recommend Advanced Foot and Ankle.