Dr. P was my surgeon while at Stanford, and she was fantastic. She removed a bone spur on my left foot and replaced my right ankle. While the surgery itself went great, quite honestly, the recovery was not for the faint of heart -- it was slow and pretty darn miserable. But 13 months and lots of hard work later, I am walking without pain or a limp for the first time in at least 10 years. I'm hiking, biking, gardening ballisticly, and even dancing again. Wow. No meds, not even ibuprofen. I feel GREAT. Dr. Palanca is smart, kind, encouraging, realistic, and an excellent surgeon. San Diego is lucky to have her.