Dr. Gianoli's standard and scientifically unsupported diagnosis of perilymph fistula as a cause for my dizziness was the beginning to years of torture. His surgery on my ear did not help my dizziness. His misdiagnosis and subsequent surgery caused lasting ear problems that never existed before surgery and far outweigh my original complaint of dizziness. My quality of life and ability to care for my family and have meaningful relationships with friends and family has been destroyed as a result. I've spend thousands to try to find out how I can fix my ear problems that resulted from this surgery and have gone thorough many additional, invasive tests as a result of Dr. Gianoli's wrong diagnosis. Beware of the perilymph fistula diagnosis this doctor frequently makes. It will cost your dearly.