I live in New Mexico where we have only 2 certified CRS' in the state. The CRS that i have seen for several years will not do LIS on me because of the incontinence risk and because I have any underlying chronic rectal pain condition and levator spasm and pelvic floor dysfunction. But I also develop fissures occasionally and am thinking of LIS to at least deal with the fissure issue once and for all. I found a CRS in Dallas by the name of Dr. Cloud that I have corresponded with and he is someone I could go to for an LIS consult, but was just wondering if anyone has had LIS in AZ, TX, CO or CA or knows of any top notch surgeons in those areas that they could suggest. If I decide to get this done, I want the best doc possible. I know that Dr. Cloud has many years of experience and seems to know his stuff about LIS so if anyone is familiar with him and has some feedback, please let me know. Thanks.