1 Department of General Surgery, Division of Colon and Rectal Surgery, SUNY Upstate Medical University, Syracuse, New York

2 Department of Surgery, Nellis Air Force Base, University of Nevada Las Vegas Kerkorian School of Medicine, Las Vegas, Nevada

3 Division of Colorectal Surgery, Department of Surgery, University of Massachusetts Chan Medical School-Baystate, Springfield, Massachusetts

*Committee member of the Healthcare Economics Committee of the American Society of Colon and Rectal Surgeons: Donald B. Colvin, M.D., Private Practice, Fairfax Colon and Rectal Surgery, PC, Fairfax, VA.

Funding/Support: None reported

Financial Disclosure: None reported.

Correspondence: Joseph Valentino, M.D., Department of General Surgery, Division of Colon and Rectal Surgery, SUNY Upstate Medical University, 750 E Adams St, Syracuse, NY 13210. E-mail: [email protected]