For my mom that was an easy choice because i had been seen a Tx Childrens hospital Endo clinic and when i turned 18 they said they could no longer treat me. That decision was made for me and my mom. I have seen several private adult endos and they are just as good as the ones that I saw as a kid. I am now seen in the UTMB at Galveston Tx Adult Endo clinic and the care there has been the same as everywhere else. I hope this helps.