I tried DeRosa Medical for the pellets a few months ago. The insertion was a little rough and hit a nerve or two. I didn't experience this with SottoPelle. My BIG complaint is the charges. This company does not ever really tell/explain what the possible costs could be up front. What the total cost is if you pay cash and what the total charge would be if using insurance. I have insurance so I went the route of using insurance not knowing the possible outcome. I just received a bill from DeRosa and it shows my insurance paid approx. $1200.00 and the remainder balance of $2200 and change is due from me. There is NO way I would have had this procedure done if I would have been told upfront the total cost was $3500. Come on, Really, and they want you to come back about every 3-4 months to do it again, meaning about $10k to $15k per year.