Dr. Lesley did a minor surgery on my right arm in his office. No anesthesia was needed, just a simple block that lasted as long as I needed it. The surgery took only 15 minutes and I did not have to fast before. I walked in and walked out an hour later. My arm is healing beautifully and I have experience very little pain. Used just OTC pain meds the first 2 days. Not having to go to a surgery center for surgery was awesome and saved me lots of money. More doctors should do this kind of surgery in their offices. It would save so much time and money for patients! Fort Worth Hand to Shoulder has a great staff both at the front desk and in patient care. I would recommend them and the treatment practices to anyone. They made what used to me a multi-day process fast and pleasant.