Please save yourself from this man. I wish I had listened to others who warned me about his dishonesty and bad surgical skills. Unfortunately, I did not listen, and my life is forever changed. I will never be the same again. I have hearing loss, horrific tinnitus, altered hearing in both ears, and continued dizziness (my original complaint). He diagnoses many of his patients with a Perilymph Fistula and charges them cash for surgery. Other doctors of the same specialty agree that this diagnosis is extremely rare. However, the majority of Gianoli's patients pay thousands in cash to receive this diagnosis. Then, after surgery is done, their original symptoms are no better, and they have even worse ear problems that were never there the day before surgery. This doctor should not have a license. He should not be allowed to cut on one more patient. His positive reviews are very misleading, as they are done on an iPad, in his office, following your first appointment. At this point, Gianoli has convinced the patient he is the expert. Little do they know their quality of life is at risk and might soon be destroyed forever. Stay away!