Jean, Alot has happened in 5 years. Dr. Laws is doing the endonasal approach now, as is Dr. Post, Dr. Kassam, Dr. Krisht, Dr. Kelly, Dr. Schwartz, Dr. McCutcheon (on some cases), Dr. Delashaw (on some cases), Dr. Swearingen, Dr. Rosseau, amongst others. I believe Dr. Black at Cedars Sinai also does the endonasal approach. These are board-certified neurosurgeons. Dr. Shahinian is a general surgeon who does skull base surgery. He is not a neurosurgeon. The PTNA is a paid listing. Their advertisements are paid. I don't get hung up on approaches. I get hung up on results. The value of a dedicated pituitary neurosurgeon to handle pituitary tumors is well published. Here are some examples: It is important for patients to be referred to neurosurgeons who have specialized in the treatment of pituitary tumors. I know of some pituitary patients who need craniotomies, and with those patients, I encourage them to go to larger centers who actually have brain tumor programs as well. Minnie | 