Document:

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                                                                    EXHIBIT 10.6

                               FIRST AMENDMENT TO
                   AMENDED AND RESTATED REVOLVING CREDIT NOTE

         ENTERED INTO by and between AMSURG CORP., a Tennessee corporation (the
"Borrower"), and BANK OF AMERICA, N.A., successor-in-interest to NationsBank of
Tennessee, N.A., its successors, assigns or any subsequent lawful holder of the
Note referenced herein (the "Lender"), as of this 13th day of March, 2000.

                                    RECITALS:

         1. The Borrower issued to the order of Lender an Amended and Restated
Revolving Credit Note dated May 19, 1998 in the principal amount of up to
$20,000,000.00 (the "Note").

         2. The Borrower and the Lender desire to amend the Note as set forth
herein.

         NOW, THEREFORE, in consideration of the premises and for other good and
valuable consideration, the receipt and adequacy of which is hereby
acknowledged, the Borrower and the Lender agree as follows:

         1. The fourth paragraph of the Note is amended and restated as follows:

            This Note shall be repaid as follows:

                     (a) Commencing on the tenth (10th) day of June, 1998,
            and on the tenth day of each consecutive month through and
            including December 10, 2001, the Borrower shall pay to Lender
            an amount equal to all then accrued interest; and

                     (b) On January 10, 2002, this Note shall mature at
            which time the Borrower shall pay to Lender an amount equal to
            all outstanding principal, plus all then accrued interest.

         2. The Note is not amended in any other respect.

         3. The Borrower reaffirms its obligations under the Note, as amended,
and the Borrower agrees that its obligations thereunder are valid and binding,
enforceable in accordance with its terms, subject to no defense, counterclaim,
or objection.

         4. In connection with this amendment agreement, the Borrower agrees to
pay to the Lender an extension fee equal to $35,000 payable as follows: (a)
$10,000 shall be paid on the execution of this amendment agreement, and (b)
$25,000 shall be paid on January 10, 2001 if the indebtedness evidenced by the
Note has not been replaced by an expanded credit facility by January 10, 2001,
provided that if the indebtedness evidenced by this Note has been replaced by an
expanded credit facility by such date, then the $25,000 portion of the extension
fee described herein shall be canceled.

         ENTERED INTO as of the date first set forth above.

BORROWER:                           LENDER:

AMSURG CORP.                        BANK OF AMERICA, N.A.

By: /s/ Claire M. Gulmi             By: /s/ Kimberly R. Dupuy
    ----------------------------        ----------------------------------------
Title: CFO                          Title:  VP
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                                                                   EXHIBIT 10.10

                              EMPLOYMENT AGREEMENT

         THIS EMPLOYMENT AGREEMENT (this "Agreement"), dated as of February 1,
2000, is entered by and between The Plastic Surgery Company, a Georgia
corporation (the "Company"), and Joshua Levine ("Executive").

         NOW, THEREFORE, for and in consideration of Ten Dollars ($10.00), the
mutual covenants and agreements hereinafter set forth, and other good and
valuable consideration, the adequacy, receipt and sufficiency of which are
hereby acknowledged, and intending to be legally bound hereby, the Company and
the Executive hereby agree as follows:

         SECTION 1.  EMPLOYMENT. The Company hereby agrees to employ Executive,
and Executive hereby accepts employment by the Company, upon the terms and
subject to the conditions hereinafter set forth.

         SECTION 2.  DUTIES. Executive shall serve as the Chief Development
Officer of the Company. Executive will perform the duties attendant to his
executive position with the Company under the direction of the Board of
Directors of the Company. Executive agrees to devote his reasonable best efforts
to the performance of his duties to the Company.

         SECTION 3.  TERM. The term of this Agreement shall be for three (3)
years, commencing on February 1, 2000 (the "Commencement Date"), and shall be
automatically renewed for successive one year terms unless either party gives to
the other written notice of termination pursuant to the provisions of Section 6
hereof, no fewer than ninety (90) days prior to the expiration of any such term
that it does not wish to extend this Agreement.

         SECTION 4.  COMPENSATION AND BENEFITS. In consideration for the
services of the Executive hereunder, the Company will compensate Executive as
follows:

         (a)      Base Salary. Commencing on February 1, 2000, Executive shall
be entitled to receive a base salary of $150,000 per annum.

         (b)      Signing Bonus. The Executive shall be entitled to a bonus of
$48,000 upon signing of the Agreement, payable $4,000 per month during the first
twelve months of employment.

         (c)      Bonus. Executive shall be eligible to receive an annual cash
bonus in an amount equal to 30% of his base salary in the event that certain
annual financial performance targets established by the Board of Directors are
achieved.

         (d)      Benefits. The Company shall grant to Executive on the
Commencement Date an option to purchase 100,000 shares of the Company's Common
Stock at $6.75 per share, which

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grant shall vest with respect to 20% of the shares on the Commencement Date and
20% on each of the first through fourth anniversaries of such date. The term of
this option shall be five years from the anniversary of the IPO. This option
grant shall be subject to the terms of Section 7 hereof. In addition, during the
term of this Agreement, Executive shall be entitled to participate in and
receive benefits under any and all executive benefit plans and programs which
are from time to time generally made available to the executives of the Company,
subject to approval and grant by the appropriate Company committee with respect
to programs calling for such approvals or grants.

         SECTION 5.  EXPENSES. It is acknowledged that Executive, in connection
with the services to be performed by him pursuant to the terms of this
Agreement, will be required to make payments for travel, entertainment of
business associates and similar expenses. The Company will reimburse Executive
for all reasonable expenses of types authorized by the Company and incurred by
Executive in the performance of his duties hereunder. Executive will comply with
such budget limitations and approval and reporting requirements with respect to
expenses as the Company may establish from time to time.

         SECTION 6.  TERMINATION. Executive's employment hereunder will commence
on the Commencement Date and continue until the end of the term specified in
Section 3 hereof and any renewals of such term, except that the employment of
Executive hereunder will terminate earlier in the following manner:

         (a)      Death or Disability. Immediately upon the death of Executive
during the term of his employment hereunder or, at the option of the Company, in
the event of Executive's disability, upon 30 days prior written notice to
Executive. Executive will be deemed disabled if, as a result of Executive's
incapacity due to physical or mental illness, Executive shall have been unable
to perform his duties with the Company on a full-time basis for 120 consecutive
business days. Executive will be eligible for short and/or long-term disability
benefits made available to Company executives. Additionally, Executive will be
entitled to severance pay as defined herein, less any short and/or long-term
disability benefits made available to the Executive.

         (b)      For Cause. For "Cause" immediately upon written notice by the
Company to Executive. For purposes of this Agreement, a termination will be for
Cause if (i) Executive willfully and continuously fails to perform his duties
with the Company (other than any such failure resulting from incapacity due to
physical or mental illness), (ii) Executive willfully engages in misconduct
materially and demonstrably injurious to the Company for personal profit and
upon receipt of written notice of termination for such misconduct is unable to
cure the misconduct within a reasonable period of time, or (iii) Executive has
been convicted of a felony or a crime involving theft or fraud.

         (c)      Without "Cause." Without "Cause" by the Company upon 30 days
prior written notice to Executive.

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         (d)      Constructive Termination. At Executive's option, upon written
notice by Executive to the Company within 120 days following a Constructive
Termination. As used herein, the term "Constructive Termination" means (i) a
change in Executive's title without Executive's consent, (ii) a material
reduction in Executive's duties and responsibilities without Executive's
consent, (iii) a material reduction in Executive's base compensation or maximum
eligible bonus from the immediately preceding year without Executive's consent
or (iv) the relocation of the Executive's office outside a 50 mile radius of
Santa Barbara, California without Executive's consent.

         (e)      Voluntary Termination. At Executive's option, upon 30 days
prior written notice by Executive to the Company. Upon Voluntary Termination,
Executive forfeits the right to (i) the vesting of any options to purchase the
Company's Common Stock that have not yet vested as defined in Section 4(c)
herein, (ii) eligibility to receive the annual cash bonus for the year of
termination as defined in Section 4(b) herein and (iii) any severance pay of the
Company as defined in Section 6 herein. If Executive has any vested but
unexercised options upon voluntary termination, such options shall remain
exercisable for the greater of 90 days or the time period specified in any
applicable option plan or option agreement.

         Executive will not be entitled to any severance pay or other
compensation upon termination of his employment pursuant to Subsections 6(b),
(e), or upon the death of the Executive, except for any portion of his base
salary accrued but unpaid from the last monthly payment date to the date of
termination and expense reimbursements under Section 5 hereof for expenses
incurred in the performance of his duties hereunder prior to termination. In the
event Executive's employment with the company is terminated as a result of
Executive's disability, Executive will be entitled to severance pay as defined
herein, less any short and/or long term disability benefits made available to
the Executive. In the event Executive's employment with the Company (i) is
terminated by the Company without Cause or (ii) is terminated by Executive
within 120 days following a Constructive Termination, or (iii) upon the
occurrence of a Change in Control (as hereafter defined) followed within ninety
(90) days by the termination of Executive's employment by Executive, the Company
will pay Executive on the date of termination (aa) severance pay in the amount
of Executive's monthly base salary at the rate in effect immediately preceding
the termination of Executive's employment multiplied by 24 months (the
"Separation Payment"), which Separation Payment will be paid by the Company in a
lump sum on the date of termination, (bb) the portion of his base salary accrued
but unpaid from the last monthly payment date to the date of termination, (cc)
expense reimbursements under Section 5 hereof for expenses incurred in the
performance of his duties hereunder prior to termination, (dd) a pro-rata
portion of the annual maximum bonus for the year in which the termination
occurs, and (ee) an amount equal to two times the amount of the bonus actually
earned by Executive the prior calendar year, provided if the termination occurs
during the first year of employment, Executive will receive an amount equal to
two times the pro-rata portion of the annual maximum bonus for the first year.

         Change In Control. A Change In Control will be deemed to have occurred
for purposes hereof (i) when a change of stock ownership of the Company of a
nature that would be required

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to be reported in response to Item 6(e) of Schedule 14A promulgated under the
Securities Exchange Act of 1934, as amended (the "Exchange Act"), and any
successor Item of a similar nature has occurred; or (ii) upon the acquisition of
beneficial ownership, directly or indirectly, by any person (as such term is
used in Section 14(d)(2) of the Exchange Act) of securities of the Company
representing 50% or more of the combined voting power of the Company's then
outstanding securities; or (iii) a change during any period of two consecutive
years of a majority of the members of the Board of Directors of the Company for
any reason, unless the election, or the nomination for election by the Company's
shareholders, of each director was approved by a vote of a majority of the
directors then still in office who were directors at the beginning of the
period; or (iv) upon approval by the Company's shareholders of a complete
liquidation of the Company; or (v) upon an agreement for the sale or disposition
of Company or all or substantially all of its assets; or (vi) upon approval by
the Company's shareholders of a merger or consolidation of the Company with any
other corporation, except a merger or consolidation which would result in the
voting Common Stock of the Company outstanding immediately prior thereto
continuing to represent at least 51% of the combined voting power of the
surviving entity or a merger or consolidation effected to implement a
recapitalization of the Company in which no shareholder acquires more than 50%
of the voting power of the Company; provided that a Change In Control will not
be deemed to have occurred for purposes hereof with respect to any person
meeting the requirements of clauses (i) and (ii) of Rule 13d-1(b)(1) promulgated
under the Securities Exchange Act of 1934, as amended.

         SECTION 7. EFFECT OF TERMINATION ON OPTIONS/COMMON STOCK. Any options
to purchase the Company's Common Stock held by the Executive that have not yet
vested will automatically expire if the Executive's employment with the Company
is terminated for Cause as defined in Section 6(b) or if the Executive
voluntarily leaves the employment of the Company in breach of this Agreement. If
Executive's employment with the Company ends for any reason other than
termination for Cause or voluntary departure in breach of this Agreement, such
Executive's options will remain exercisable and will vest and expire in
accordance with the terms of the applicable option agreements. If the Executive
dies while employed by the Company his vested options shall become fully
exercisable on the date of his death and shall expire twelve months thereafter.
If Executive has any vested but unexercised options upon any termination of
employment, such options shall remain exercisable for the greater of 90 days or
the time period specified in any applicable option plan or option agreement.

         SECTION 8.  CONFIDENTIAL INFORMATION. Executive recognizes and
acknowledges that certain assets of Employer and its affiliates, including
without limitation information regarding customers, pricing policies, methods of
operation, proprietary computer programs, sales, products, profits, costs,
markets, key personnel, formulae, product applications, technical processes, and
trade secrets as defined in California Civil Code Section 3426 (hereinafter
called "Confidential Information") are valuable, special and unique assets of
Employer and its affiliates. Executive will not, during or after his term of
employment, disclose any of the Confidential Information to any person, firm,
corporation, association, or any other entity for any reason or purpose
whatsoever, directly or indirectly, except as may be required pursuant to his
employment hereunder, unless and until such Confidential Information becomes

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publicly available other than as a consequence of the breach by Executive of his
confidentiality obligations hereunder. In the event of the termination of his
employment, whether voluntary or involuntary and whether by the Company or
Executive, Executive will deliver to the Company all documents and data
pertaining to the Confidential Information and will not take with him any
documents or data of any kind or any reproductions (in whole or in part) of any
items relating to the Confidential Information.

         SECTION 9.  NONCOMPETITION; NONSOLICITATION. Until two years after
termination of Executive's employment hereunder, Executive will not (i) engage
directly or indirectly, alone or as a shareholder, partner, officer, director,
Executive or consultant of any other business organization, in any business
activities which (A) relate to the acquisition, consolidation or management of
surgical or physician practices (the "Designated Industry") and (B) were either
conducted by the Company prior to Executive's termination or proposed to be
conducted by the Company at the time of such termination, (ii) divert to any
competitor of the Company in the Designated Industry any customer of the
Company, or (iii) solicit or encourage any officer, executive, employee or
consultant of the Company to leave his employ for employment by or with any
competitor of the Company in the Designated Industry. The parties acknowledge
that Executive's noncompetition and nonsolicitation obligations hereunder will
not preclude Executive from owning less than 5% of the common stock of any
publicly traded corporation conducting business activities in the Designated
Industry. Executive will continue to be bound by the provisions of this Section
9 until their expiration and will not be entitled to any additional compensation
from the Company with respect thereto. If Executive's termination is a result of
a Change of Control as defined in Section 6 herein, the provisions of this
Section 9 will expire immediately upon such termination. The provisions of
Section 9 shall remain in effect only during such time as the Executive is
entitled to receive severance pay from the Company, as defined in Section 6
herein, and only during such time as the Executive actually receives such
severance pay from the Company. If at any time the provisions of this Section 9
are determined to be invalid or unenforceable, by reason of being vague or
unreasonable as to area, duration or scope of activity, this Section 9 will be
considered divisible and will become and be immediately amended to only such
area, duration and scope of activity as will be determined to be reasonable and
enforceable by the court or other body having jurisdiction over the matter; and
Executive agrees that this Section 9 as so amended will be valid and binding as
though any invalid or unenforceable provision had not been included herein.

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         SECTION 10.  GENERAL.

         (a)      Notices. All notices and other communications hereunder shall
be in writing, and will be deemed to have been duly given (i) upon receipt if
delivered personally, (ii) three days after mailing, if mailed by certified
mail, return receipt requested, (iii) on the next business day if sent by
overnight delivery service, or (iv) upon confirmation of transmission if by
telecopier, to the relevant address set forth below, or to such other address as
the recipient of such notice or communication will have specified to the other
party hereto in accordance with this Section 10(a):

         IF TO EMPLOYER, TO:

                  The Plastic Surgery Company
                  104 W. Anapamu
                  Suite G
                  Santa Barbara, California 93101
                  Attn:  Dennis Condon
                  Telecopier: (805) 965-8230
                  Telephone: (805) 963-0400

         IF TO EXECUTIVE, TO:

                  Joshua Levine
                  2677 Quail Valley Road
                  Solvang, California 93463
                  Telecopier: (805) 965-8230
                  Telephone: (805) 688-9322

         (b)      Withholding. All payments required to be made by Employer
under this Agreement to Executive will be subject to the withholding of such
amounts, if any, relating to federal, state and local taxes as may be required
by law.

         (c)      Equitable Remedies. Each of the parties hereto acknowledges
and agrees that upon any breach by Executive of his obligations under any of
Sections 8, and 9 hereof, the Company will have no adequate remedy at law, and
accordingly will be entitled to specific performance and other appropriate
injunctive and equitable relief.

         (d)      Severability. If any provision of this Agreement is held to be
illegal, invalid or unenforceable, such provision will be fully severable and
this Agreement will be construed and enforced as if such illegal, invalid or
unenforceable provision never comprised a part hereof; and the remaining
provisions hereof will remain in full force and effect and will not be affected
by the illegal, invalid or unenforceable provision or by its severance herefrom.
Furthermore, in lieu of such illegal, invalid or unenforceable provision, there
will be added automatically as part of

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this Agreement a provision as similar in its terms to such illegal, invalid or
unenforceable provision as may be possible and be legal, valid and enforceable.

         (e)      Waivers. No delay or omission by either party hereto in
exercising any right, power or privilege hereunder will impair such right, power
or privilege, nor will any single or partial exercise of any such right, power
or privilege preclude any further exercise thereof or the exercise of any other
right, power or privilege.

         (f)      Counterparts. This Agreement may be executed in multiple
counterparts, each of which will be deemed an original, and all of which
together will constitute one and the same instrument.

         (g)      Captions. The captions in this Agreement are for convenience
of reference only and will not limit or otherwise affect any of the terms or
provisions hereof.

         (h)      Reference to Agreement. Use of the words "herein," "hereof,"
"hereto" and the like in this Agreement refer to this Agreement only as a whole
and not to any particular subsection or provision of this Agreement, unless
otherwise noted.

         (i)      Binding Agreement. This Agreement will be binding upon and
inure to the benefit of the parties and will be enforceable by the personal
representatives and heirs of Executive and the successors of Employer. If
Executive dies while any amounts would still be payable to him hereunder, such
amounts will be paid to Executive's estate. This Agreement is not otherwise
assignable by Executive.

         (j)      Entire Agreement. This Agreement contains the entire
understanding of the parties, supersedes all prior agreements and understandings
relating to the subject matter hereof and may not be amended except by a written
instrument hereafter signed by each of the parties hereto.

         (k)      Governing Law. This Agreement and the performance hereof will
be construed and governed in accordance with the laws of the State of
California, without regard to its choice of law principles. In the event that
any action is instituted to enforce or interpret this Agreement, or arising out
of this Agreement, such action shall be brought and maintained solely and
exclusively in the appropriate state court of the State of California and in the
County of Santa Barbara. Each of the parties hereby consents to the jurisdiction
of such court and agrees not to assert any objection to such jurisdiction. In
the event of any such action, the party prevailing in such action shall be
entitled to recover its reasonable attorney's fees and costs.

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This Agreement was executed as of the date first above written.

                          THE PLASTIC SURGERY COMPANY:

                                    By:
                                        -----------------------------------
                                         Gunnar Sundstrom
                                         Chief Financial Officer

                           EXECUTIVE:

                                     By:
                                        -----------------------------------
                                        Joshua Levine

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