I visited dr sivagnanam after my own family doctor retired. I am asthmatic and had a very good relationship with my old doctor and was very anxious about the change. I can not praise dr sivagnanam enough. I feel like he actually listened and was willing to take on board my situation and my concerns. I feel much more at ease about going forward with a new doctor now. The surgery in general are always very helpful and the receptionists are excellent, they are always professional but also very polite and kind.