-- Dear Bonny, Hi, My name is Sally Grigg and I'll try to answer your question. It's not just "Germany" Its Dr. Kruschinski and his new methods. I went to his clinic near Frankfurt and was very pleased to be out of agony for the first time in years. I've been having a laproscopic surgery once a year to keep alive (no kidding). My adhesions would be back within the week. Dr. Kruschinski is an excellent surgeon He also does not use carbon dioxide, but instead uses a manual abdomen lift. He also uses spraygel, a barrier that is not yet approved in the U.S.A. but is used throughout Europe, Australia, etc. If you are really interested please look back through the emails from me and others about him and you can also visit him on this web site - http://www.EndoGyn.com With kindest regards, Sally