Repeat visit, possibly "pre-preop." He made nonoperative and operative recommendations, and we discussed possible operative complications. My age (76) is a negative for such major reconstructive foot surgery (should have done it 30 years ago). He recommended a brace; I declined. I'll wait and possibly consider surgery early next year. He was not pushy or upset with my reluctance to follow his recommendations, just smiled with an "oh well" look — a nice guy.