I am very surprised by these reviews. We have female and male factor fertiity issues. I had seen Dr. Pavelka (awesome man) at RMIA for over a year before moving on to IVF with Dr. Bayless. I am finishing up my 1st round of IVF *hopeful* and have zero complaints. Everyone you deal with is very polite, helpful, knowledgeable and honest! IVF begins with an orientation that covers EVERYTHING from the process, drugs, cost/programs, options, risks, success rates. Like another commenter said, they are there to get you pregnant! With their risk sharing programs they all but guarantee success (or you get your money back!). This is a huge risk for them to take on! Dr. Bayless can be a little dry but she isn't messing around, you are encouraged to ask as many questions as you can and she tells it like it is. Regarding the writing down of your own follicle sizes, personally it made me feel more involved, I knew exactly what was going on in there! I don't think it has anything to do with the staff size, everything there runs on time as scheduled and I think it would be a waste to have a nurse in the room just to write down follicle sizes. I also did not feel they were ""after my money,"" they were clear on what it costs and when money was due. Please remember this is a business, these procedures are costly. They are not going to provide their services and then cross their fingers hoping that you will pay for it.