During three meetings throughout 20 years, Dr. Mighell was consistent with his examination of me and his recommendations to replace both shoulders. When the pain became unacceptable and the loss of motion prevented daily routine items, I returned to Dr. Mighell after my extensive shoulder replacement research and had my left shoulder replaced in 2018 and my right shoulder replaced in 2019. His team of fellows, nurses and rehab staff were all helpful with any question or event that came up during the months I was under his care. WOW. Woke up from both surgeries with no pain and have been pain free for months. My pain free range of motion returned with my rehab. Today, I am pain free and my range of motion is more than acceptable to me. Only question I have now is: ‘Why did I wait 20 years for a pain free life?’ Thank you to the whole Dr. Mighell team. After more than 1600 shoulder replacements, they had the tools, experience and team concept well tuned to handle any questions I had.