Clearly Dr Pousti has joined the ranks of other like-minded surgeons. Arguably he joined those ranks a long time ago; it's only recent that the information is getting out there.
While I've managed to accumulate a number of surgeons who do go larger, the list of surgeons (or at least the ones which spring immediately to mind) who go "to infinity and beyond" is fairly short:
Dr Pousti
Dr Yermian
Dr Domanskis
I do have to wonder why these names are all in California. I would figure that other areas of the USA would have a similar demand. Maybe this is one of those gradual social changes we'll just have to be patient with.
Edit: I spoke too soon. Somehow Dr Foster slipped my mind.
Maybe I should just make a general sweep and say "visit my site".