Both my husband and I have been pleased with our visits in the past. It’s been just a few years ago when we were in last. We saw the doctor directly. It seems now you aren’t going to see the doctor first. For any removal of skin tags and moles we were referred to the skin spa located in the same office. Were told you only see the doctor unless the practitioner suspects further treatment. And, our insurance no longer covers basic skin tag removals. We are curious to see how this new plan works.