@Jason Hurst Thanks Jason, good observations. He does have pretty tight hamstrings but otherwise reasonably flexibly. He teaches martial arts. both surgeries were on his left side and, sorry, that didn’t get into the photos. He is actually more flexible on his surgical side. The stem was part of his initial fit from a bike shop and it is almost surely too low but I wanted him to ride a bit before I worked too much on his hands/bars. He is comfortable for now. He has been a mountain biker and is getting back into cycling because of a new relationship with a partner. I don’t want to give him any exit ramps. Just easy comfort, slow and incremental changes