We have been patients of Dr Tram for a few years. They do have a sort of reputation for going to the knife a lot but I leave it up to them to make that judgement. A few years ago I had a small mark on my arm and 2 different Dr's said it was an infection and I did not believe either of them and did not fill their prescriptions. I ended up at the Urgent Care office in Sumter Landing and Dr.Proud said it was probably sgaumous cancer and cut it out. Had it biopsied and yep it was. Who did she refer me to "Dr.Tram". He cut it out and all is fine. That is enough for me. He is pretty busy and not stitching may be a better use of his "surgeon skills"? If I had a complaint about the Dr.Tram Office it would be that they allow you to wait in the waiting room for a long time. They do not respect your time.