I'd just had Tony Arletto at European Tailors alter a jacket for me and am very happy with the results. I requested surgeon cuffs with kissing buttons as well as some alterations on the overall fit (a little more waist suppression and one sleeve was a bit long). All of the buttonhole work was done by hand and the fit was bang on. All in it cost me $160, however, given I saved $1500 on the purchase (it was an Isaia cashmere from STP with 30% off coupon etc.) it was good value for my money. By the way, the STP purchase was relatively easy as well.