Different than other offices I've been but the service is AMAZING. I love that they have massage therapists loosen you up before Dr. Secrest works on you. Very relaxing and effective. He also explains what he is doing and WHY which I love. Well worth it and I highly recommend this place. Also, it's a $60 for an hour massage and their people are incredible. I love spas for their environment but would rather pay to come here since I know the massage is top notch. Win win situation