I am a patient of Dr. Efird here in Memphis, TN. He performed surgery on my eyes and I have also been treated by Sandra Horn, his nurse. He did an excellent job and the results far exceeded my expectation. He is a very caring and concerned individual and I look forward to obtaining future services from him. Don't think your surgeon has to be part of a large group in order to be one of the best. Office size is an indivual option, Dr. Efirds caters to a more personal service.