Having turned 50 recently, I had a routine colonoscopy and found to have a polyp on old appendix scar. My options were surgery vs endoscopic resection of the polyp. Being an anesthesiologist , I have worked with Dr. Binmoeller for many years and watched him expertly remove polyp in numerous cases in which it was not feasible by other endoscopists or would have required surgery. Thus, my decision was very easy. I had Dr. Binmoeller remove the polyp from my old appendix scar. Next day I was able to return to provide anesthesia for Dr. Binmoeller patients. This would not have been possible if I had surgery. My advise to anyone reading this blog is that you should get a second opinion from Dr. Binmoeller prior to your colon or gastric surgery.