Dr. Dube would have us further scrutinize physician demographic data to assess how it impacted decision making. As pointed out in the article,1 we only had three black patients offered surgery by black physicians. All three accepted. Given the small numbers, I am not sure how we could have pursued this further. He also wonders why we did not further evaluate the gender and age of the physician. We found no impact of patient gender on any of our outcomes, so we did not feel that physician gender would impact the offering or accepting of surgery. In terms of age, we did find that older patients were more likely to decline surgery. However, to evaluate the issue of concordance, we would want to ask the question of whether patients who met with physicians of similar age would be more likely to accept surgery. The average age of our patients was approximately 68 years. None of our physicians were > 60 years old, and the majority were < 40 years old. Thus, it would be hard to see how we could find concordance between patient age and physician age.