Had it done at 46. I'm 50 now. I don't know the reason for the first doc's recommendation. I went to him because he does a LOT of advertising, I was lazy. Didn't do my homework. After my evaluation I found out he makes his $$$ on volume. It took 4 hours of sitting to be evaluated for the surgery. The second doc doesn't advertise as much but is well known. Appointments are usually less than 15 minutes of waiting.