Dr. Trumble is a skilled surgeon. He is polite, well mannered and very professional. He's easy to talk to and takes time for his patients, even though he is very busy and much sought after for his skill and expertise. I vote him a full blown 10+. Consider surgury for hand arthritic conditions, it works thanks to Dr. Trumble.
Pros: Skill, expertise and professionalism.
Cons: Aren't any.