Surgical treatment in Virginia

At HCA Virginia, our hospitals have advanced surgical technology, renovated operating rooms and board-certified surgeons in a variety of medical specialties. At each facility, your surgical team's goal is the same as yours — to restore your quality of life as quickly as possible by offering minimally invasive procedures combined with personalized care and postoperative rehabilitation services.

For more information about our surgical services or for help finding a surgeon, call our free, 24/7 Consult-A-Nurse® line.

Our approach to surgical care

Our surgeons have passed special board-certification exams and made voluntary commitments to continue training and testing throughout their careers. Although they share their knowledge by instructing other surgeons across the country, the surgeon performing your procedure will be one of our board-certified surgeons, not a resident or student.

Our surgeons are trained to use advanced surgical technology, including minimally invasive techniques, for a wide range of procedures. After surgery, our patient-focused care, combined with our extensive network of facilities, gives you access to the integrated care and comprehensive rehabilitation services you need.

Our specialty surgical services

HCA Virginia hospitals offer inpatient (admission to the hospital overnight) and outpatient (same day — no hospital stay required) surgeries for a wide range of surgical specialties, including:

Bariatric surgery

Bariatric surgery refers to a variety of procedures designed to help you achieve and sustain long-term weight loss. Our bariatric surgeons can use minimally invasive techniques to perform several weight loss procedures. Your bariatric surgeon will help determine if you quality for bariatric surgery and which procedure may be the most effective in helping you achieve your health goals.

General surgery

Despite its name, general surgery is a medical specialty and not a generalized term for all types of surgery. General surgeons can perform a wide range of surgeries but typically focus on abdominal procedures, including surgeries for appendicitis, hernias and other intestinal conditions.

Some general surgeons may also specialize in treating ailments affecting the head and neck, breasts, skin and soft tissues, extremities, vascular system and endocrine system.

Gastrointestinal (GI) surgery

Our GI surgical services include minimally invasive GI surgery to treat gastroesophageal reflux disease (GERD), colorectal cancer and other digestive health conditions.

Hernia surgery

A hernia is an abnormality that occurs when an organ or fatty tissue squeezes through a weak spot in a surrounding muscle or connective tissue. This could be problematic and, in some cases, life-threatening.

There are various causes of abdominal hernias, such as stress from lifting, previous surgical sites and genetic malformations. Both men and women of all ages are capable of having hernias.

Common procedures to surgically repair a hernia include open repair, laparoscopic repair and robotic repair. These surgeries typically use a mesh implant to strengthen the hernia repair and are well-tolerated by patients.

Learn More about Hernias

Gynecologic surgery

Gynecologic surgery may be an effective treatment options for gynecologic cancer, pelvic organ prolapse and other conditions affecting the female pelvic area. Often, we are able to perform gynecologic procedures with minimally invasive surgical technology.

Heart and vascular surgery

Chippenham Hospital, Henrico Doctors' Hospital, LewisGale Medical Center and LewisGale Hospital Montgomery offer comprehensive heart and vascular surgery programs. Our surgeons are trained in a variety of surgical treatments, from interventional procedures to complex cardiovascular surgeries.

Lung and thoracic surgery

Lung and thoracic surgery may be necessary to identify the stage of lung cancer, examine the chest cavity or remove a lung nodule, among other reasons. In many cases, our pulmonary specialists are able to use minimally invasive techniques.


Our neurosurgeons deliver effective neurosurgical care for conditions of the brain and central nervous system. They also collaborate with our orthopedic surgeons for spine surgery. Whether performing brain surgery or repairing a spinal cord injury, we use advanced technology to enhance surgical planning, imaging and navigation.

Ophthalmologic (eye) surgery

Our specialists in ophthalmologic care offer advanced support and surgical options for our patients with eye or vision troubles. Our team performs eye surgery for eye injuries and conditions as well as advanced laser surgery for vision correction.

Orthopedic surgery

Our orthopedic surgery programs provide comprehensive care for all types of musculoskeletal diseases, disorders and injuries. Many of our hospitals also offer joint replacement programs complete with preoperative education classes.

Plastic and reconstructive surgery

If you need or are considering plastic surgery, our experienced plastic surgeons can provide information, advice and a full range of plastic, reconstructive and cosmetic surgical treatment options.

What is the difference between plastic surgery, reconstructive surgery and cosmetic surgery?

  • Plastic surgery refers to any surgery that reshapes or repairs body structures.
  • Reconstructive surgery is a type of plastic surgery that repairs deformities resulting from accidents, disease or congenital abnormalities. This type of surgery is intended to improve movement and minimize disfigurement.
  • Cosmetic surgery is a type of plastic surgery that reshapes facial or body features to improve appearance.

Types of plastic and reconstructive surgery we perform

  • Abdominoplasty — removes wrinkled skin and fatty tissue from the stomach
  • Body fat reduction — uses liposuction to remove fatty deposits from the hips, buttock, thighs and other areas
  • Breast augmentation — enlarges the breasts
  • Breast reconstruction — restores form to the breast
  • Cheek implants — gives the appearance of cheekbones
  • Chemical peel — uses chemicals to repair damaged skin
  • Chin augmentation — uses an implant to redefine the shape of the chin
  • Cleft lip and palate surgery — repairs birth abnormalities of the mouth
  • Dermabrasion — scrapes the facial skin to smooth out fine wrinkles, especially around the mouth
  • Ear surgery — repositions or reshapes the ears
  • Eyelid surgery (blepharoplasty) — removes excess fat and skin on the upper and lower eyelids
  • Facelift (rhytidectomy) — removes wrinkles and sagging skin on the face and neck
  • Forehead lift — removes wrinkles on the forehead
  • Hand surgery — corrects defects of the hand that are the result of injury or genetics
  • Nose surgery (rhinoplasty) — reshapes the nose
  • Prosthesis change — removes the old prosthesis, replacing it with a new one
  • Scar revision — reduces the surface area of scars, making them less noticeable
  • Tissue expansion — involves stretching adjacent healthy skin to cover an incision

Is plastic surgery right for you?

To help you decide if plastic surgery is right for you, talk with one of our nurses about treatment options. If you decide surgery is right for you, you’ll meet with a plastic surgeon who will provide more in-depth detail about your surgery and recovery.

After your surgery, we’ll schedule a follow-up appointment with your primary care physician who will make sure your recovery is on track. You’ll be informed about any medications you’ll need, and a professional technician will teach you how to use cosmetics to help conceal incisions, discoloration or swelling.

Payment for plastic surgery

Reconstructive surgical procedures may be covered by major insurers and health maintenance organizations (HMOs). Payment for consultations is due at the time of your visit. Payment for cosmetic procedures is due before the day of surgery unless other arrangements have been made.

Spine surgery

Injuries and disorders of the spine require highly specialized care, and that is what you will find at our hospitals. Our orthopedic surgeons and neurosurgeons deliver high-quality spine care for even some of the most complex cases.

We use innovative minimally invasive technology, which allows your surgeon to operate through small incisions with improved surgical planning and vision.

Urologic surgery

When urologic surgery is necessary, such as to treat prostate cancer, we are often able to use minimally invasive techniques. Our surgeons also use technology which allows them to operate with extreme precision in delicate areas, such as those within the urinary system.

Virginia Transplant Center

At Virginia Transplant Center at Henrico Doctors' Hospital, our kidney surgeons and clinicians specialize in kidney transplant surgery, living kidney donations and paired exchange kidney transplants. Our transplant referral patients average 90 days from referral to listing, which becomes lifesaving time for patients and families.

HCA Virginia Institute of Robotic Surgery

HCA Virginia Institute of Robotic Surgery is made up of more than 10 advanced surgery facilities across Virginia. Combined, we have performed more robot-assisted procedures than any other healthcare system in Virginia.

Robotic surgery allows us to offer minimally invasive surgical procedures so our patients can quickly get back to their normal activities. Our surgeons continuously collaborate on emerging technologies and techniques to deliver enhanced surgical experiences that reduce hospital stays and lessen recovery times.

We provide robotic surgery options for:

  • GI surgery
  • General surgery
  • Gynecologic surgery
  • Head and neck surgery
  • Joint replacement surgery
  • Spine surgery
  • Thoracic surgery
  • Urologic surgery

Preparing for your surgical procedure

Below, you will find some general information to help you prepare for surgery and learn what to expect after surgery. Your surgeon and care team will provide more instructions and guidelines for your specific procedure. However, please do not hesitate to ask questions about preparing for your surgery or postoperative care.

For your convenience, you can preregister for your procedure online.

Preregister for Surgery

Before your surgery

Follow these general guidelines to prepare for your surgery unless you are directed otherwise:

  • Talk to your doctor if you are on blood thinners.
  • Stop eating and drinking the night before your surgery. This includes gum and throat lozenges. You may brush your teeth on the morning of your procedure, but do not swallow any water.
  • Take your prescribed medications, as discussed with your physician, with just enough water to swallow them.
  • Do not smoke after midnight.
  • Bathe or shower prior to your procedure.
  • Do not apply makeup or lotion the day of surgery.
  • Wear comfortable clothing, and remove all jewelry and body piercings before coming to the hospital.
  • Leave valuables, credit cards and money at home.
  • Bring containers for eyeglasses, dentures or hearing aids.
  • If you experience a change in your health, such as a cold, cough or fever, within 24 hours of your scheduled surgery, contact your physician immediately.
  • Make plans for someone to drive you home and stay with you for at least 24 hours after surgery.

After your surgery

Below is general information for what to expect after your surgery:

  • Your physician will talk with your designated caregivers about your procedure.
  • Depending on the use of anesthesia during your procedure, you may be taken to a post-anesthesia care unit (PACU) where your blood pressure will be continuously monitored as you recover.
  • As your anesthesia wears off, sounds may seem louder than normal, and you may experience blurred vision, dry mouth or chills. While these are usually normal responses, tell your nurse how you are affected.
  • If you are experiencing pain, inform your nurse so they can provide appropriate pain management solutions.
  • Your care team will determine when it is appropriate for you to return home (if you had outpatient surgery) or be moved to a postoperative room to continue your recovery.
  • Before you are discharged, you will receive written instructions about caring for yourself at home, information on who to call with questions about your recovery and a time and date for your follow-up appointment.