Hi there, and welcome, or should I say aloha? I don't have any personal experience with fentanyl patches, but I believe they are strong and you've been on them for a long time. I believe they should probably be tapered as it seems you have been doing. As far as whether you actually need them anymore, well that is a conversation you need to have with a doctor. If you think your doctor lacks experience, is it possible that you can speak to a different one?