Very friendly and down to Earth. Dr. Hirata is easy to talk to and works with you to make your birthing experience the best. He always keeps the safety of baby and mom first. (And yes it is true if you have had a C-section in the past and you plan to deliver at Hilo Medical Center you will have to plan for a C-section again. - This says nothing about the Doctor.) The staff is also very friendly and make the whole experience pleasant.