I had my first visit with Dr. Spoon for my annual checkup. The office was nice and clean and had only a 20min wait time. Dr. Spoon does a sort of consultation in his office first to see if you are having any concerns. The exam is done with a nurse in the room which makes it a little less awkward. Overall it was a good experience and I'm happy to find an OBGYN in Las Vegas that is both personable and professional. I would highly recommend.