Today I had my surgery consultation. I am in Georgia, outside of Atlanta, and I only had 2 choices for surgeons that can perform cleft lifts in the state. I chose Dr. Arie Pelta and right now, I am very happy with my decision. He was very professional and very educated on PD so I am definitely comfortable with him doing the procedure. He took a look at my current wound (from the open wound excision I had done in January) and determined that the cleft lift would be the best route to heal this and prevent recurrence. He also told me, before I even brought it up, that excision is outdated by 30+ years & was standard procedure in WWII but shouldn't even be performed anymore. We went over the usual things and he applied silver nitrate to my wound (I have not had this done in the 4 months I've been healing, but I don't believe it was a bad choice because it did not hurt at all and I can't see any harm from it), then we scheduled my surgery. He also recognized and made it clear that there is no 100% cure for this, but that the cleft lift would be my best option. He said he is nearly certain that with the placement of my wound (right at the top of the crack, no pits or anything and does not go anywhere near my anus) and the way he will perform the surgery, I will be able to fully heal from this (and not have problems with the lower stitches/healing) and put the last four months behind me. I've got my fingers crossed!