It felt so good and free. I just quit and I haven't worn one since. On the half days I sometimes wear a golf shirt. But its always with my best pants and shoes. My shirts are always button downs because without a tie on the other kind looks less neat and the collars look like wings.
Shirts are dry-cleaned and pressed.
I always wear the white clinic jacket with new patients. I have received no complaints or comments. In fact no one seems to have noticed. I have never worn a tie in my office, or anywhere else, for that matter, in the past 20 years or so. Check out the CCA website, and go to the Directory page, you will see what I mean.