[David]

For what it is worth, I think it depends on the specialist in question.

For example, when I decided that I wanted ADR, I told the first Ortho that I went to that I wanted ADR.

After the necessary tests (discogram and more recent MRI), his surgical/scheduling assistant started to describe the nature of the procedure. Within 15 words I knew that he was describing fusion, not ADR.

*Then*, and only then was I told that his office hadn't learned the procedure yet, and that I should wait 6 months and then come back.

Uh, no, thanks. Another ortho and neurosurgeon later (and 5 consults via ***), I am now working with Dr. Yue in CT.

Edit: 2nd story, involving the same ortho. Because I didn't know any better, and didn't think to ask, when my 1st ortho performed the discogram, he didn't really produce any results. No discogram films, no CT scan. The only thing he produced was a written report. Because of my lack of knowledge (and to a certain extent due to his lack of disclosure), when I went to my next neurosurgeon, I had to have another discogram performed.

David