Need to schedule an appointment or have questions? With offices in Central Austin, Avery Ranch, Cedar Park, Buda and Waco, we are close by. Contact Austin Pediatric Surgery to connect with Central Texas’s trusted pediatric surgeons. Locations AUSTIN AVERY RANCH CEDAR PARK BUDA WACO Austin Strictly Pediatrics Subspecialty Center 1301 Barbara Jordan Blvd Suite 400 Austin, TX 78723 (512) 708-1234 Fax: (512) 708-4567 Avery Ranch North Medical Office Building 9010 North Lake Creek Parkway Building 2, Suite 303 Austin, TX 78717 Buda Ascension Seton Health Center at Buda 5235 Overpass Rd Buda, TX 78610 (512) 708-1234 Fax: (512) 708-4567 Cedar Park **Temporarily Closed** Pediatric Specialty Center 1301 Medical Parkway Suite 340 Cedar Park, TX 78613 (512) 708-1234 Fax: (512) 708-4567 Waco Ascension Seton Health Center at Waco 6101 Woodway Drive 2nd Floor Waco, TX 76712 PHONE (512) 708-1234 FAX (512) 708-4567 PATIENT PORTAL CONNECT After Hours If you have an emergency, please contact 911. If you need to get in touch with us after business hours, you can reach the on-call surgery team by calling our office. (512) 708-1234

Providing expert treatment for breast masses, infections and gynecomastia with minimally invasive techniques and compassionate support. Breast Disorders BREAST MASSES BREAST INFECTIONS GYNECOMASTIA Breast disorders in children and adolescents can range from infections to masses, and while many are benign, they may require medical evaluation and treatment. At Austin Pediatric Surgery, we provide expert care for breast conditions, offering minimally invasive approaches to ensure your child’s comfort and well-being. From managing infections to diagnosing and treating breast masses or gynecomastia, our team supports families through every step of care. Below are common breast conditions we treat and their respective management options. Breast Masses What are they? Breast masses are common in adolescent girls and are almost always benign (non-cancerous). Symptoms A lump in the breast that may or may not cause discomfort. Diagnosis and Treatment Evaluation typically includes a physical exam and possibly imaging (ultrasound or MRI). Treatment may involve observation or, if necessary, surgical removal of the mass. Breast Infections What are they? Breast infections, such as mastitis, can occur at any age, from infancy to adolescence. Symptoms Pain, redness, swelling, and sometimes fever. Treatment Often managed with antibiotics. In more severe cases, drainage via needle aspiration or surgery may be required. Gynecomastia What is it? An enlargement of breast tissue in boys, often due to hormonal changes during puberty. Treatment Typically resolves on its own over time. Persistent cases may require surgical intervention. For more information or to schedule a consultation, contact Austin Pediatric Surgery .

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Providing expert prenatal consultation and surgical care for congenital conditions like gastroschisis, omphalocele and CDH. Prenatal Congenital Consultation Program GASTROSCHISIS CONGENITAL LUNG LESIONS OMPHALOCELE CONGENITAL DIAPHRAGM HERNIA (CDH) ESOPHAGEAL/INTESTINAL OBSTRUCTION ABDOMINAL MASSES Hearing that your unborn baby may have a congenital anomaly can be overwhelming, but you are not alone. At Austin Pediatric Surgery, our Congenital Consultation Program offers prenatal consultations to provide expert guidance on congenital anomalies and surgical planning. Our team collaborates with maternal-fetal medicine specialists, neonatologists, and OBGYNs to deliver the most up-to-date care for you and your baby. From prenatal diagnosis to long-term follow-up, we are committed to supporting families every step of the way. Gastroschisis What is it? A condition where the intestines protrude outside the abdomen due to incomplete abdominal wall development. Treatment Surgery to reposition the intestines, either immediately after birth or in stages Follow-Up Some infants may require extended hospitalization to allow their intestines to recover and function properly. Omphalocele What is it? Abdominal organs protrude through the belly button, covered by a membrane. Treatment Surgical repair timing depends on the defect size and associated health issues. Follow-Up Focused care for related complications like genetic anomalies or lung development issues. Congenital Diaphragmatic Hernia (CDH) Program Congenital Diaphragmatic Hernia (CDH) is a problem that babies are born with in which a portion of the diaphragm has not formed correctly. The diaphragm is the muscle that separates the abdominal cavity from the chest cavity to help you breathe. When a CDH occurs, the intestines, liver and other organs push up into the chest and prevent the normal development of the lungs. The lungs are smaller than they should be and the blood vessels in the lungs also don’t work well, frequently preventing blood to flow like it should through the lungs. This is called pulmonary hypertension. There are a number of tests and measurements that can be done as a fetus to assess the severity of the diaphragmatic problem. Babies born with CDH can be very sick soon after birth and may need to go on a heart lung bypass machine known as extracorporeal membrane oxygenation, or ECMO. Usually the surgery to repair the CDH is done in the first days or weeks of life. Depending on how much of the diaphragm is absent, the repair may include placing a patch of synthetic material where the diaphragm should be. Babies with CDH are often in the hospital for a long time after birth but we are there every step of the way with you, your baby, and your family to help make it as easy as possible. We are also there to follow up with you after you go home from the hospital. We will see your baby regularly and are always available as a resource for questions or concerns. Austin Pediatric Surgery leads a multidisciplinary team of maternal fetal medicine doctors, neonatologists, pediatric intensive care doctors, ECMO specialists, cardiologists, pulmonoligist and other doctors to take care of babies with CDH. We use the most up to date techniques and equipment to take care of these babies. If you have any questions about the CDH program, please contact us at Austin Pediatric Surgery. What is it? A hole in the diaphragm (muscle that helps you breath), which allows abdominal organs to move into the chest, impacting lung development. Treatment Surgery to repair the hole in the diaphragm to keep the abdominal organs out of the chest. Some babies with CDH can be very sick when they are born and require heart and lung bypass with ECMO. Follow-Up Long-term care for breathing, feeding, and developmental challenges. Congenital Lung lesions What is it? Abnormal lung tissue from fetal development that may cause breathing issues or infections. Treatment Surgery during infancy to remove the affected lung tissue if symptomatic. Follow-Up Asymptomatic cases are monitored and evaluated for surgery within the first few months. Esophageal/ Intestinal Obstruction What is it? Blockages anywhere from the esophagus to the anus. Treatment Surgical correction after careful evaluation, possibly involving staged repairs with temporary stomas. Abdominal Masses What is it? Abdominal masses can occur for different reasons in babies. These can be associated with different organs such as the intestines, ovaries, liver or adrenal glands. Treatment Some resolve naturally after birth, while others require surgery for diagnosis and treatment.

Treating neuroblastoma, Wilms tumor and other pediatric cancers with advanced surgical care. We provide compassionate support for every child and family. Pediatric Oncology NEUROBLASTOMA / ADRENAL TUMORS WILMS TUMOR (NEPHROBLASTOMA) THORACIC TUMORS OTHER TUMORS At Austin Pediatric Surgery, our skilled pediatric surgical oncology team provides compassionate, expert care for children with cancer. We specialize in treating a variety of tumors throughout the neck, chest, and abdomen, using a collaborative, multi-disciplinary approach tailored to your child’s unique needs. We work in close collaboration with the medical oncologist, radiologist, radiation oncologist, and pathologist to ensure that your child receives state of the art oncological care. Neuroblastoma / Adrenal Tumors What is it? Neuroblastoma is a cancer originating from the adrenal glands or sympathetic nervous system and can occur anywhere throughout the body, but most commonly presents as a solid mass in the abdomen. Children can often appear sick when they are diagnosed and can sometimes have a palpable mass in the abdomen. Evaluation and Diagnosis Diagnosis involves physical exam, imaging (ultrasound, MRI, nuclear scans), and lab tests. Biopsies may also be required. Treatment Treatment depends on the tumor stage and is determined by a multi-disciplinary team of surgeons and oncologists. Long-Term Care Children require regular follow-ups with a pediatric oncologist with scheduled blood work and imaging tests. Wilms Tumor (Nephroblastoma) What is it? Wilms tumor is a childhood tumor that comes from the kidney. Children with Wilms tumors are typically under age 5 years. Children are often well-appearing when they are diagnosed and can present with abdominal distension, constipation or a palpable mass in the abdomen. Signs and Symptoms Abdominal bloating or pain Vomiting, weight loss, or blood in urine Evaluation and Diagnosis Tests include imaging (ultrasound, CT, MRI), blood work, and urinalysis. Treatment Surgical removal of the kidney is often the first step, followed by chemotherapy and/or radiation therapy. Long-Term Care Children require regular follow-ups with a pediatric oncologist with scheduled blood work and imaging tests. Thoracic Tumors What is it? These tumors are located in the chest cavity, near the lungs, or on the chest wall, may be benign or cancerous. Signs and Symptoms Shortness of breath or chest pain Fever or chest wall mass Evaluation and Diagnosis Imaging (X-rays, CT scans, or MRI) and biopsies are used to determine the tumor type and extent. Treatment Treatment may include surgery, observation, or chemotherapy, depending on the tumor’s nature. Minimally invasive techniques can be used when appropriate. Other Tumors At Austin Pediatric Surgery, we specialize in the treatment of the full breadth of intra-thoracic, intra-abdominal and superficial tumors in children. Our expert team of pediatric surgeons is dedicated to providing the highest level of care, utilizing advanced surgical techniques and state-of-the-art technology to ensure the best possible outcomes. We understand the unique challenges that come with treating tumors in various locations within the body, and we are committed to offering personalized, compassionate care tailored to each child's specific needs. From diagnosis to post-operative care, our multidisciplinary approach ensures that every aspect of your child's treatment is meticulously managed, giving you peace of mind and confidence in their recovery.

Meet Dr.Julie Sanchez at Austin Pediatric Surgery! Learn more about how we're serving Central Texas. Julie Sanchez, MD, FACS Meet Dr. Sanchez Dr. Sanchez has called Austin home since 2001, where she balances a thriving surgical practice with her entrepreneurial spirit as co-founder of Spoonie Threads, an online clothing company designed for children and adults with special needs. Passionate about education, global health, and injury prevention, Dr. Sanchez is dedicated to making a meaningful impact both in and out of the operating room. My Journey to Pediatric Surgery "My initial passion was architecture. As an undergraduate at UT-Austin, my father encouraged me to think about medicine. I became a volunteer at Brackenridge Hospital. That's were I discovered my passion for medicine. Pediatric surgery allows me to care for children, empower parents and be a mentor. I enjoy meeting parents, caring for their newborn and seeing their child grow into a young adult. I'm blessed to be part of the journey." My Clinical Focus "My focus is to provide expert diagnosis and surgical treatment of a variety of general surgical conditions for children of all ages. My scope of practice ranges from perinatal consultations and hernia repairs to complex surgical management of tumors, birth defects and traumas." Services I Provide • Perinatal Consultations • Minimally Invasive Surgery • Neonatal Surgery • Breast and Ovarian Masses • Hepato-biliary Surgery • Surgery for the Special Needs Child • Gastro-intestinal Surgery Degree & Training Medical School University of Texas Southwestern Medical Center Residency SUNY at Brooklyn/Kings County Hospital Fellowship Pediatric Surgery - SUNY Brooklyn/ Kings County Hospital Pediatric Trauma - Johns Hopkins Hospital Board Certification American Board of Pediatric Surgery American Board of Surgery Memberships • Affiliate Professor of The UT-Dell Medical School • APSA-Global Pediatric Surgery Committee • Dell Children's Surgical Global Outreach • Fellow, American College of Surgeons • Fellow, American Pediatric Surgery Association • TETAF-NICU Surveyor • Texas Medical Association Providing trusted care when it matters most GET IN TOUCH

Meet Dr.Jeffrey Horwitz at Austin Pediatric Surgery! Learn more about how we're serving Central Texas. Jeffrey Horwitz, MD, FACS Meet Dr. Horwitz Dr. Horwitz grew up in Houston and has been proud to call Austin home since 1999. He treasures the support of his loving family, which includes his wife, Treva, their daughter, Aiden, and their three dogs, Gracie, Bella and Leo. When not caring for patients, Dr. Horwitz enjoys spending quality time with his family, seeing live music and trying new restaurants. His dedication to both his family and his work reflects his warm and compassionate approach to life and medicine. My Journey to Pediatric Surgery "I was drawn to the field of pediatric surgery because children are not just "small adults." They have some unique problems that require special surgical management. It is a very special thing for me to have the opportunity to make a difference in a child's life." My Clinical Focus "My clinical focus is in all areas of pediatric surgery, from removing lumps and bumps to correcting complex congenital anomalies." Services I Provide • Neonatal Surgery • Repair of Hernias and Hydroceles • Chest Wall Correction (Pectus Excavatum) • Circumcision • Minimally Invasive Surgery • Pediatric Cancer Surgery • Thyroid Surgery Degree & Training Medical School University of Texas Medical Branch Residency Medical College of Pennsylvania - General Surgery Mount Sinai Medical Center - General Surgery Fellowship Yale New Haven Hospital - Pediatric Surgery University of Texas Medical School - ECMO/Surgical Critical Care Board Certification American Board of Surgery - Pediatric Surgery American Board of Surgery - Surgical Critical Care American Board of Surgery - General Surgery Memberships • American Academy of Pediatrics • American College of Surgeons • American Pediatric Surgical Association Providing trusted care when it matters most GET IN TOUCH

Specializing in liver tumors, gallstones and bile duct conditions. Minimally invasive solutions for effective recovery. Liver & Gallbladder Surgery Our team specializes in pediatric liver and gallbladder surgery, providing expert care for infants, children, and adolescents. These surgeries address conditions affecting the liver, bile ducts, or gallbladder, ensuring the best possible outcomes. The pediatric surgeons at Austin Pediatric Surgery lead a multidisciplinary team which includes surgeons, gastroenterologists, and radiologists who take care of children with these disorders and make sure they get the best care possible for these conditions. Our team works to bring the most recent data and advanced techniques to the care of children with these problems. Contact us for more information or to schedule a consultation. Liver Surgery Liver Tumors Diagnosis of Liver Disease Biliary Atresia: A condition where bile ducts are blocked or missing. Choledochal Cyst: a condition where the bile ducts have abnormal tissue causing swelling Gallbladder Surgery (Cholecystectomy) Cholelithiasis: Gallstones causing pain or blockages. Cholecystitis: Inflammation of the gallbladder. Biliary Dyskinesia: A poorly functioning gallbladder. Choledocholithiasis: gallstones causing blockage of the liver Signs and Symptoms Abdominal pain, nausea, vomiting, or fever Yellowing of the skin or eyes (jaundice) Presence of an abdominal mass If you suspect liver or gallbladder issues, contact your pediatrician promptly. Diagnosis Blood tests for liver function and enzymes Imaging: Ultrasound, sometimes other testing including CT scan, MRI, or HIDA scan can help Treatment Options Liver Surgery: Biopsies or resections, using minimally invasive or open techniques. Gallbladder Surgery: Removal of the gallbladder via minimally invasive methods with minimal long-term effects. Follow-Up Care Post-surgery care depends on the procedure performed. Contact your pediatric surgeon with any concerns or questions.

Offering minimally invasive solutions for appendicitis, bowel obstructions, reflux, and other pediatric gastrointestinal conditions. Gastrointestinal Surgery APPENDICITIS MECKEL’S DIVERTICULUM ESOPHAGEAL DISORDERS INTESTINAL (BOWEL) OBSTRUCTION GASTROSTOMY PLACEMENT OTHER ABDOMINAL SURGERY Our team of pediatric surgeons specializes in diagnosing and treating gastrointestinal conditions in children. From common issues like appendicitis to complex conditions like bowel obstructions, we provide expert care designed to help your child recover quickly and comfortably. Appendicitis What is it? Appendicitis occurs when the appendix becomes blocked and inflamed, often requiring surgery. It is one of the most common reasons otherwise healthy children need surgery. Signs and Symptoms Abdominal pain, typically on the right side Nausea, vomiting, fever, and loss of appetite Diagnosis Diagnosis is based on symptoms, lab tests, and ultrasound. Additional imaging such as CT scans or MRI may be needed to make the diagnosis. Treatment Most cases require laparoscopic surgery to remove the appendix. In certain cases, antibiotics alone may be considered. Follow-Up Care Recovery depends on the surgery performed. Contact your surgeon for any concerns. Meckel’s Diverticulum What is it? This congenital condition involves an outpouching in the small intestine, sometimes can cause bleeding. Signs and Symptoms Abdominal pain, nausea, vomiting Bleeding or blockages Diagnosis Tests like a Meckel’s scan or CT scan can be helpful to confirm the condition. Treatment Surgical removal via laparoscopic or open surgery is performed for symptomatic cases. Intestinal (Bowel) Obstruction What is it? An obstruction prevents food or stool from passing through the intestine, caused by scar tissue, twisting, or congenital conditions. Signs and Symptoms Abdominal pain, vomiting, bloating Inability to pass gas Diagnosis Imaging tests like X-rays or CT scans confirm the blockage. Treatment Initial care includes bowel rest, IV fluids, decompression of the intestine with a tube in the nose and possibly surgery for severe cases. Gastrostomy Placement What is a Gastrostomy? A gastrostomy is when the stomach is connected to the abdominal wall using sutures to form a tract between the stomach and the skin. What is a G-button? A G-button (also called a gastrostomy button, gastrostomy tube, or G-tube) is a small tube that is surgically placed into the stomach through a small cut in the abdomen. This is a long-term and more sturdy way to receive medications and nutrition when oral feeding is not sufficient or deemed unsafe. Device Management You will learn to give feeds and medications through the G-button/G-tube. You will also learn how to clean the area once or twice a day and connect/disconnect the tubing. G-button changes are done as needed and at minimum every 6 months routinely. This can be done in the clinic or at home and is not a painful procedure. Nutrition is managed by the pediatrician, dietitian, or gastroenterology. The device itself is managed by your surgical team or the g-tube nurse practitioner. How Long is the G-button in Place? The G-button or G-tube can remain for as long as your child needs it based on their medical condition. If all nutrition and medications are sufficiently taken orally, your primary physicians will give clearance to remove the G-button. The site will either close spontaneously or will require surgical closure. Esophageal Disorders We specialize in the full spectrum of pediatric esophageal disorders (such as achalasia, congenital esophageal stenosis, esophageal atresia with tracheoesophageal fistula, duplication cysts, reflux) in infants and children and work collaboratively with other specialists to provide a tailored multidisciplinary treatment plan for your child's specific disorder. Other Abdominal Surgery Austin Pediatric Surgery provides expert care for various abdominal conditions requiring surgical intervention. Beyond common procedures like appendectomies and treatments for inflammatory bowel disease, our skilled team addresses complex conditions such as spleen disorders, adhesion-related obstructions and rare gallbladder anomalies. With advanced training in pediatric and minimally invasive techniques, the surgeons ensure precise, compassionate care tailored to each child’s needs. Every procedure is approached with the goal of achieving the best outcomes while prioritizing comfort and safety for young patients and their families. Please contact us to learn more.