I had a consultation with him...seemed honest, but did not strike me as an expert in his field (I asked him about some of the newer developments in orthognathic surgery and it seemed like he was oblivious to them)...just a standard maxfac surgeon capable of the basic jaw movements. Also, he's very expensive...BUT, if you are going to get double jaw surgery, make sure you get a surgeon who responds quickly to your emails or your orthodontist's emails. There are some U.K. patients who choose to go abroad since it can be slightly cheaper (although there are a lot of cheap surgeons in the U.K.) but the problem with that is the surgeons seem to take a lot longer, if at all, to respond to emails. Brian Musgrove (or his secretary) responded to all my emails almost immediately.