Search this site

Request your appointment online with Austin Pediatric Surgery. Request Appointment Please call 911 if you have a medical emergency Cancellation / No Show Policy Please call to cancel or reschedule an appointment at least 24 hours prior to the appointment you cannot attend. Patients who fail to show up for an appointment, or fail to cancel an appointment more than once, will be billed a charge of $25 per missed appointment. (512) 708-1234

Expert care for cysts, abscesses and skin masses. Safe and effective treatment tailored to children’s needs. Skin Masses & Infections SKIN MASSES SKIN INFECTIONS PILONIDAL DISEASE Our pediatric surgeons specialize in diagnosing and treating a variety of skin masses and infections, ensuring your child receives expert and compassionate care. Skin Masses What are Skin Masses? Skin masses are lumps or bumps beneath the skin, most often benign and non-cancerous. Possible Diagnoses Include: Cysts: Dermoid, epidermoid, or pilonidal cysts Malformations: Lymphatic or vascular malformations Growths: Lipomas, pilomatrixomas, or neurofibromas Rare Conditions: Pyogenic granulomas, skin tags, or liposarcomas Diagnosis and Treatment Diagnosis is based on a physical exam, sometimes aided by ultrasound. Surgery to remove the mass is often recommended and typically performed as an outpatient procedure under anesthesia. Skin Infections What are Skin Infections? Skin infections can cause abscesses, which are pockets of infected fluid beneath the skin. Treatment Incision and Drainage (I&D): A small surgical cut drains the abscess, often leaving a temporary drain in place. Home Care: Wound cleaning with warm soapy water; antibiotics may be prescribed. Follow-Up: Drain removal occurs 7-14 days after surgery in our office. The surgeons at Austin Pediatric Surgery are experienced in treating skin masses and infections, ensuring safe and effective care for your child. We can often see patients on the same day symptoms arise. Contact us to schedule a consultation. Pilonidal Disease Pilonidal Disease is a very common condition in the lower back/buttock cleft where a cyst can form and the area become infected. Symptoms can range from asymptomatic to mild infections to severe abscesses and open wounds. There is a range of treatments depending on the severity of disease and the presence of infection.

Austin Pediatric Surgery treats Crohn’s disease, ulcerative colitis and IBD with specialized surgical care designed for children’s unique needs. Inflammatory Bowel Disease CROHN’S DISEASE ULCERATIVE COLITIS IBD UNSPECIFIED Inflammatory bowel disease (IBD) is an immune mediated inflammation of the intestines which can afflict pediatric patients. Although most IBD in children is treated with medicines, some children require surgical care for complex disease. The team at Austin Pediatric Surgery is committed to the care of children with IBD. We offer advanced treatments using minimally invasive techniques, such as laparoscopic ileocecectomy and colectomy with ileoanal pouch reconstruction. We work as a team with gastroenterologist to ensure you and your children receive the best multidisciplinary care we can provide. Dr. Jessica Naiditch is a board certified pediatric surgeon who has a special interest in IBD and leads the surgical IBD team at APS. Crohn’s Disease What is it? Crohn’s Disease causes inflammation in the gastrointestinal tract and can affect any portion of the intestines. It can result in strictures, fistulas, or blockages in the bowel. Signs and Symptoms Abdominal pain, fatigue, weight loss Persistent diarrhea or rectal bleeding Mouth ulcers or skin infections Possible effects on the liver, kidneys, and joints Evaluation and Diagnosis Diagnosis involves stool and blood tests, imaging (MRI/CT scans), and endoscopy with biopsies to confirm inflammation and disease extent. Treatment Medications: Steroids, immunomodulators, or biologics Surgery: Reserved for complications like bowel narrowing or fistulas, focusing on preserving intestinal length Follow-Up Care Ongoing gastroenterology follow-ups with nutritional and surgical monitoring are essential to maintain growth and minimize symptoms. Ulcerative Colitis (UC) What is it? UC is an inflammatory condition affecting the colon (large intestine)’s inner lining, causing pain, diarrhea, and bloody stool. Unlike Crohn’s, UC is limited to the colon and rectum. Signs and Symptoms Abdominal pain, weight loss, bloody diarrhea Symptoms outside the intestine, such as joint or skin issues Evaluation and Diagnosis Similar to Crohn’s, diagnosis requires bloodwork, imaging, and colonoscopy with biopsies to assess inflammation and disease progression. Treatment Medications: Similar to Crohn’s Surgery: Removal of the colon with reconstruction of the intestinal pathway (ileoanal pull-through procedure) can be curative Follow-Up Care Close monitoring with both surgical and gastroenterology teams ensures proper healing and growth. IBD Unspecified (IBDU) What is it? IBDU is diagnosed when symptoms overlap between Crohn’s and UC. It is more common in children and often requires less medical treatment. Treatment and Follow-Up Managed similarly to other IBD types, with an emphasis on monitoring symptoms and minimizing interventions. At Austin Pediatric Surgery, we are committed to helping your child manage IBD with expert care, whether through advanced medical treatments or surgery. Contact us for compassionate guidance tailored to your child’s needs.

Expert care for thyroglossal duct cysts, branchial cleft cysts, thyroid conditions, and tongue-tie surgery. Compassionate pediatric surgeons in Austin. Head & Neck Surgery THYROGLOSSAL DUCT CYST BRANCHIAL CLEFT CYST THYROID DISEASE / SURGERY TONGUE TIE SURGERY Our team of pediatric surgeons specializes in diagnosing and treating various head and neck conditions. Whether congenital or acquired, we’re dedicated to providing expert care tailored to your child’s unique needs. Thyroglossal Duct Cyst What is it? A thyroglossal duct cyst is the most common neck condition that your child can be born with. It can look like a painless lump in the upper neck, which may move when swallowing or sticking out the tongue. They can become infected, which is why we recommend removing them when they are diagnosed. Evaluation and Diagnosis Diagnosis is usually made through a physical exam. An ultrasound can be used to confirm the cyst and ensure the thyroid gland is normal. Treatment Surgery (the Sistrunk procedure) removes the cyst and its associated duct under general anesthesia. Infections must be treated first. Children may go home the same day as the procedure or stay overnight. Recurrence is rare, but possible. Follow-Up Care Post-surgery instructions will include wound care and activity guidelines. Pain is managed with over the counter medications. Follow-up appointments occur 2-4 weeks after surgery. When to Call the Doctor Contact your doctor if signs of infection (redness, swelling, or fever), neck swelling, or other concerns arise. Branchial Cleft Cyst What is it? This neck condition your child is born with is from abnormal development of the different glands and structures on the side of the neck. Most commonly, it appears as a painless swelling or a small skin opening that may intermittently drain fluid. Evaluation and Diagnosis Diagnosis is based on a physical exam and ultrasound. CT or MRI may be needed for unclear cases. Treatment Surgery removes the cyst or sinus under general anesthesia, with infections treated first. The procedure lasts 1-2 hours, and your child may go home the same day or stay overnight. Recurrence risk is low. Follow-Up Care Wound care and pain management instructions will be provided, and a follow-up visit is scheduled 2-4 weeks post-surgery. When to Call the Doctor Contact your doctor if signs of infection (redness, swelling, or fever), neck swelling, or other concerns arise. Thyroid Disease What is it? The thyroid gland regulates metabolism and other body functions. Conditions include thyroid nodules, hyperthyroidism, and hypothyroidism, which may present as lumps, fatigue, or mood changes. Evaluation and Diagnosis Diagnosis involves a physical exam, blood tests, and ultrasounds. A biopsy may be recommended for thyroid nodules. Treatment Certain thyroid conditions require surgery to remove a portion of the thyroid or the entire thyroid. Our group has a specialty program dedicated to specifically taking care of children with surgical thyroid conditions, led by Dr. Jeffrey Horwitz . Follow-Up Care Post-surgery care includes monitoring hormone levels, wound care, and medication for those with full thyroid removal. A follow-up visit occurs 1-2 weeks post-surgery. When to Call the Doctor Contact your doctor if signs of infection (redness, swelling, or fever), neck swelling, or other concerns arise. Thyroid Surgery Program Although thyroid disease is less common in children compared to adults, occasionally surgical issues arise. Most commonly this is for an overactive thyroid gland (hyperthyroidism) or a concerning thyroid nodule. Treating pediatric thyroid disease requires a multidisciplinary approach. As the lead surgeon of our Thyroid Surgery Program, Dr. Jeffrey Horwitz works closely with our partners in pediatric endocrinology, pediatric radiology and pediatric pathology. In addition, because recent studies have suggested that high volume thyroid surgeons (performing > 30 cases/year) have improved outcomes, Dr. Horwitz has partnered with Dr. Teresa Kroeker, one of the region’s leading adult thyroid surgeons. This collaboration between pediatric surgeons and a high-volume adult thyroid surgeon optimizes the care of children with surgical thyroid disease conferring the benefits of both a high volume thyroid surgeon and high volume pediatric surgical care. Tongue-Tie Surgery What is it? Tongue-tie (ankyloglossia) occurs when a tissue band restricts tongue movement. It may interfere with feeding or speech. Treatment Pediatric tongue-tie surgery releases the tongue and is performed under general or local anesthesia, depending on age. Recovery involves minimal discomfort managed with over the counter medication.

Specialized care for chest wall deformities, including pectus excavatum and pectus carinatum with minimally invasive techniques for faster recovery. Pectus Chest Wall Deformities PECTUS EXCAVATUM PECTUS CARINATUM MIXED CHEST DEFORMITY OUR PECTUS PROGRAM Pectus Excavatum What is it? Pectus excavatum is characterized by a sunken chest caused by the sternum pressing inward. It often becomes more pronounced during growth spurts in childhood or adolescence. Signs and Symptoms Sunken appearance of the chest wall Decreased exercise tolerance Negative self image Evaluation and Diagnosis Diagnosis involves a physical exam, chest CT scans, and tests like echocardiograms and pulmonary function assessments to determine severity. Treatment Nuss Repair (Minimally Invasive): Placement of a metal bar under the sternum to correct the defect, removed 2-3 years later. Ravitch Repair (Open Surgery): Removal of cartilage and placement of a strut under the sternum to reshape the chest. Non operative treatments are sometimes used in unique cases Follow-Up Care Post-surgery follow-ups include monitoring with chest X-rays and restricting contact sports for a brief period of time. The bar is typically removed after 2-3 years. About Pectus Excavatum Pectus excavatum is an indentation to the chest wall that occurs in 1 in 300 people. Patients with pectus excavatum may complain of shortness of breath, especially while exercising, or an inability to keep up physically with their peers. They may feel embarrassed or ashamed of their physical appearance, and this impaired body image can result in lower self-esteem and impaired quality of life. Pectus excavatum often requires an operation to elevate the sternum, potentially improving heart and lung function, as well as improving the appearance of the chest. An extensive evaluation will help determine if a patient is a surgical candidate. At the patient’s initial consultation, we will discuss if and when additional workup testing should be considered. The surgeons perform the Nuss procedure to correct pectus excavatum. The surgery involves two small incisions made on either side of the chest. One or more bars are guided across the chest and then rotated to lift the sternum. Thoracoscopy allows the surgeons to see inside the chest with a camera during the procedure. We utilize a multimodal approach to pain control to ensure patients are able to return to their normal activities as soon as possible. One aspect of this pain control is cryoablation, which uses extreme cold to temporarily freeze targeted nerves in the chest wall. We restrict certain activities for a short period of time, but within a limited time period our patients are able to resume all activities including contact sports. At Austin Pediatric Surgery, an enhanced recovery (ERAS) pathway was created by our team of surgeons, advanced practice providers, anesthesiologists, nurses, physical and occupational therapists, pharmacists, and Child Life Specialists. ERAS is a patient-centered and evidence-based approach to optimize surgical outcomes. This team developed a pectus pathway to improve postoperative pain control, encourage early mobility, and decrease hospital length of stay. This pathway optimizes care before, during, and after your surgery. Pectus Carinatum What is it? Pectus carinatum causes the sternum to protrude outward, leading to a pigeon chest appearance. Signs and Symptoms Asymmetric chest appearance Negative self image Chest pain or breathing difficulties Evaluation and Diagnosis Diagnosed via physical exams, sometimes supplemented with chest X-rays for bony abnormalities. Treatment Brace Therapy: Effective for non-rigid cases, requiring continuous wear for 3-6 months. Ravitch Repair (Surgical): Reserved for severe or brace-resistant cases, involving cartilage removal and sternum reshaping. Follow-Up Care Brace therapy patients are monitored for progress, while post-surgery patients are seen regularly to ensure proper healing. About Pectus Carinatum Pectus carinatum is a less common variant of a pectus anomaly and occurs when the sternum and ribs protrude outward. Many patients with pectus carinatum experience continued growth of the protrusion during growth spurts. Some children may experience shortness of breath, most often during exercise. The most common treatment for pectus carinatum is bracing therapy, though occasionally surgery is indicated. Timing of this treatment is important and is best during early adolescent and teenage years when cartilage is softer and the chest wall is more easily reshaped. We will help you to determine and carry out the right plan for your condition. Mixed Chest Deformity Mixed chest deformities may include a combination of pectus excavatum and pectus carinatum. We also see patients with pectus arcuatum. Pectus arcuatum is a rare chest wall deformity that causes the upper part of the sternum to protrude forward and the lower part to angle backward. Our surgeons will work with patients and families to create individualized treatment plans based on desired outcomes. Our Pectus Program The surgeons of Austin Pediatric Surgery have developed a multidisciplinary Chest Wall Program at Dell Children’s Medical Center. They specialize in treating structural deformities of the chest wall including pectus excavatum and pectus carinatum. The conditions are caused by an abnormal growth of the cartilage that connects the sternum to the ribs. Typically, pectus excavatum and pectus carinatum become more prominent during the rapid growth of early adolescent and teen years, but they can also develop at a much younger age. Sometimes there may be a family history of chest wall abnormalities, however these conditions can also be associated with certain connective tissue disorders, such as Marfan syndrome or Ehlers-Danlos syndrome. Our program will work with you and your family to make the best plan for your condition. If you have any questions, please contact our Chest Wall Program Coordinator at: dcchestwallprogram@ascension.org . Pectus Program Testimonials "My Daughter had her surgery with Dr.Josephs in June 2024 and it was a great experience from the start, I had so many questions answered and the staff were so amazing especially Sarah. I am grateful for the care and knowledge that I gained from this experience and for my daughters surgery to go so well! I couldn't thank Dr.Josephs enough for changing the course of my daughters life and making her life better! Forever grateful!" - Mother of patient with pectus excavatum "We had an exceptional experience with Dr. Grethel and his team, and I wanted to share our journey in the hopes it might help others. My 16 year old son Matt had been struggling with his stamina since the indent in his chest started worsening with puberty. He would often feel short of breath quickly, experience premature muscle burn during exercise, and describe the air as feeling “heavy.” After a couple of years of observation and consultation with Dr. Grethel, we felt that the NUSS procedure was the best solution for him. From the very beginning, Dr. Grethel and his team were incredibly professional, helpful, and supportive. They guided us through every step of the process, including navigating the complexities of insurance approval. Their patience and dedication gave us the confidence we needed during the uncertain times leading to surgery. The results have been incredible. Just a few days after the surgery, Matt noticed an immediate difference—he could breathe more easily, even at rest, which he had never realized was a challenge for in a little over six weeks, he was back to running, swimming, rowing, and lifting weights. We are almost 3 months post-op and the improvement in his stamina has been noticeable. We cannot thank Dr. Grethel and his staff enough for their outstanding care and support throughout this journey. We are so grateful for the positive impact this surgery has had on Matt’s life and highly recommend Dr. Grethel and his team." -Valerie L. "No one likes to have to send their child into surgery. No one likes to see the effects of pectus excavatum on their child's physical and emotional health. But the Nuss Procedure performed at Dell Children's hospital changed our child's life forever. The staff guided us through the preparation process, answering all of our questions and scheduling the requisite tests. The procedure involved a minimally invasive surgery whereby a titanium bar was inserted under the ribs, causing almost instant improvement. Because of advances in the procedure, the surgeons do a cryo-ablation of the nerves inside the chest wall, which thaw after 8 weeks. This means the patient is home sooner (two to three days instead of a week or longer in the hospital) and no prescription painkillers are necessary during recovery. It took three months to be completely able to do everything but because of the surgery, he feels more confident, healthier and happier." - Mother of patient with pectus excavatum "Prior to the surgery, I had a sunken sternum, and I had less breathing capacity. I had shortness of breath many times and I felt rather insecure about myself. However, when I went under the surgery, where they placed a metal bar under my sternum and pushed it up, results were almost instant. Following the surgery, I had more breathing room, allowing me to do activities more efficiently and not get as tired. I felt I could do more, and while recovery took time and adjusting, I felt more secure about myself. Now, I am happy with my chest and the results from the surgery, as I can do the activities I love and not get as short of breath!" - Patient with pectus excavatum

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.

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 .

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.

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.

Access important resources to prepare for your child’s surgical journey. Find details about forms, pre-operative planning, financial arrangements and post-surgery care at Austin Pediatric Surgery. Patient Info Patient Forms Patient Resources Before Surgery Insurance & Billing After Surgery Medical Records Patient Forms In an effort to make each appointment go as smoothly as possible, we ask that you complete relevant patient forms prior to your child’s visit. To save time in the office, feel free to print and complete the patient forms and bring them with you to the appointment. If you have any questions about the information on these forms or about your appointment in general, please call (512) 708-1234. Print New Patient Forms Consent Without Guardian Formas del Pacientes- Español Descargue los siguientes formularios, complételos y tráigalos a la oficina para su cita. Formas del Pacient Consentimiento para Tratamiento en Ausencia del Tutor Legal Before Surgery We’re here to ensure your child’s surgery is as smooth and stress-free as possible. Preparing together can help ease anxieties and create a positive experience. Prior to your child’s surgery, please fill out any required patient forms . Steps to Prepare: Ask Questions : Speak with your physician or hospital staff ahead of time to address any questions you might have. Be Honest: Use simple, age-appropriate explanations with your child about the procedure and what to expect. Encourage Play : Let your child explore with medical toys or dolls to build familiarity with their procedure, express their feelings and feel more in control. Pack Comfort Items: Include favorite toys, books or a cozy blanket to help them feel at ease. Storytime Prep: Read books like Curious George Goes to the Hospital or other relevant books and stories to help your child feel more at ease. For more information about our surgical facilities, visit: Dell Children’s Medical Center Dell Children's Medical Center - North Campus Strictly Pediatrics Surgery Center Pre-Operative Tours at Dell Children's Medical Center Prepare your child for surgery with a hands-on pre-operative tour led by a Child Life Specialist. These tours help children and families understand what to expect, reducing stress and promoting confidence. Your child will get to see medical equipment, explore key areas like the operating and recovery rooms, and learn about the surgery process in a kid-friendly way. Siblings are welcome to join, making it a family experience. For dates, times and reservations, call the Surgery Child Life Specialist at (512) 324-0146. After Surgery Your child’s recovery is our priority, and we’re here to help every step of the way. If you have any questions or concerns about post-operative care, we encourage you to contact us directly. Our team is available to answer your questions and ensure your child’s recovery goes as smoothly as possible. For assistance, please call us anytime at (512) 708-1234 . We’re here to provide the guidance and support you need. Patient Resources For additional information regarding our professional associations, resources, and partners, please see the links provided below. American Pediatric Surgical Association American Pediatric Surgical Association Parent Resources American Academy of Pediatrics What is a Pediatric Surgeon Dell Children’s Medical Center Strictly Pediatrics Surgery Center Insurance & Billing At Austin Pediatric Surgery, we are committed to ensuring that every child receives the surgical care they need, regardless of insurance status. We accept all major insurance plans and encourage families to contact us with any questions about coverage or financial arrangements. Our team works closely with families to make the process as smooth as possible and will assist in finding solutions that fit your situation. If you have questions, please call our office at (512) 708-1234 to speak with our financial department. PAY MY BILL Medical Records Request All patient health care information at Austin Pediatric Surgery is strictly confidential. Therefore, medical records cannot be released to any person or organization without the consent of the patient or the patient’s legally authorized representative (unless authorized by law). Release Form To receive a copy of your child’s health information, an authorization to release medical information must be signed and dated by the parent or legal guardian. A fee of $25.00 will be assessed to cover the cost of copying and sending your record. If the records are being faxed or mailed to another medical facility, there is no charge. Medical Records Release Form Submitting your Form Completed authorization forms may be submitted to Austin Pediatric Surgery by mail, in person or by fax. Mailing address: Austin Pediatric Surgery 1301 Barbara Jordan Blvd Suite 400 Austin, TX 78723 Fax number: (512) 708-4567

From hernias to complex congenital anomalies, our pediatric surgeons treat a variety of conditions. Discover how we provide minimally invasive and specialized care. Conditions we Treat At Austin Pediatric Surgery, we are dedicated to providing expert surgical care for infants, children, and adolescents. Our pediatric surgeons specialize in treating a wide range of conditions often identified by primary care providers, using advanced techniques tailored to the unique needs of young patients. Whenever possible, we utilize minimally invasive procedures, which involve small incisions, resulting in quicker recovery times, reduced discomfort, and minimal scarring. Explore the conditions we treat and discover how our skilled team can support your child’s journey to health. If you have any questions, we’re here to help! Comprehensive Care in Pediatric Surgery At Austin Pediatric Surgery, we are dedicated to providing a broad range of specialized surgical care for infants, children, and adolescents. Our team combines advanced techniques with compassionate care to ensure the best outcomes for every patient. From minimally invasive procedures to complex surgeries, we focus on tailoring treatment to meet each child’s unique needs. Explore our services to learn how we can support your family, and feel free to reach out with any questions about how we can assist your child on their journey to health. Hernias Head & Neck Oncology Chest Wall Deformities Inflammatory Bowel Disease Gastrointestinal Surgery Complex Thoracic Surgery Neonatal Surgery Liver & Gallbladder Colorectal Disease Pediatric Trauma Skin Masses & Infections Genitourinary Ovarian Masses & Cysts Breast Disorders MEET YOUR TEAM

Expert surgical care for CPAM, thoracic tumors and other lung conditions using advanced minimally invasive techniques. Complex Thoracic Surgery CONGENITAL LUNG LESIONS THORACIC CYSTS & TUMORS THYMOMAS & MYASTHENIA GRAVIS PNEUMOTHORAX Our pediatric surgeons are highly skilled in minimally invasive and open thoracic surgeries to treat various conditions affecting the chest cavity. These include congenital abnormalities, cysts, tumors, and issues that impact breathing or heart function. Our surgeons specialize in Video-Assisted Thoracoscopic Surgery (VATS), a minimally invasive approach using small incisions to reduce scarring and recovery time. Most children recover quickly, returning home within 1-3 days and resuming regular activities soon after. Congenital Lung Lesions What is it? An abnormal area of the lung that occurs during fetal development that may contain cysts or poorly functioning tissue, usually diagnosed before birth by fetal ultrasound. Variations Congenital Pulmonary Airway Malformations (CPAMs) : Abnormal lung tissue that may include cysts. Bronchopulmonary Sequestrations (BPS) : Non-functioning lung tissue with its own blood supply, separate from the normal lung. Congenital Lobar Emphysema (CLE) : Overinflation of one lung lobe due to abnormal airway development. Treatment Surgery to remove the affected lung portion during infancy to prevent complications like infections or breathing issues. Thoracic Cysts & Tumors Examples Bronchogenic cysts, neurogenic tumors, teratomas, and lymphomas. Treatment Surgical biopsy or removal, often performed minimally invasively. Thymomas & Myasthenia Gravis What is it? Abnormal thymus growth or diseases like myasthenia gravis, which cause muscle weakness. Treatment Surgery to remove the tumor or thymus to alleviate symptoms. Pneumothorax What is it? A collapsed lung caused by air leakage, leading to chest pain and difficulty breathing. Treatment Chest tube placement and possibly surgery to remove abnormal lung tissue that is predisposed to collapsing.