There are two basic issues in deciding whether to go with P.I. 1) How the business end of the program comes across: marketing seems a little cheesy, price seems high, why hasn't my M.D. referred me to it? 2)Does the program actually work? My wife and I were very hesitant to start with them, due to the somewhat unfavorable impressions we formed about the business aspect. Luckily, we went ahead anyway. Somewhat of a leap of faith, but also cognizant of the fact that their statistics regarding rates of success are pretty convincing. Our son improved immediately, having his first dry night ever, the first night. We'd been warned that some kids will sleep lightly at first, and show a false result. However, he continued to have many dry nights the first couple of weeks. Since then, with a few regressions, he is dry almost all the time. It's been about six months now. The bell rings about once every two weeks. He is sleeping over at friends' houses with confidence, going to visit his Grandparents this summer, which had been out of the question. This is clearly a very well thought out program, not just an alarm. The price is reasonable, in my opinion. The counselling aspect is a key part of the program, and very reassuring to my son. The child has to be into doing it, it seems to me, and he is still very positive about the program. The light is at the end of the tunnel. Many of the disparaging comments about Pacific seem to come from people who chose not to pursue it. They may be rationalizing that decision. 1900 bucks is a lot, to be sure, but worth it by a long shot.