An average General Surgeon in the United states will face during his/her practice a substantial number of proctology cases which will probably average around 4 - 5 cases a month, and most of us - General Surgeons - will perform them in a satisfying traditional ways using what we learned during our residency and years of practice...This applies even to busy Colorectal surgeons, may be with a slightly higher number of cases.

For some, yet unclear reason to me , and although I am a General and Vascular surgeon by training, my practice which stayed fairly busy for most of the 16 years after finishing my training, took for the last 5 years a different , more specialized path when I developed a sudden interest in performing better less painful proctology surgery.

I always thought that the way we used to perform hemorrhoidectomy and other proctology procedures is too primitive, rough and inhumanely painful and does not rise to the high tech advanced world we live in today or the advances we experienced recently in the field of surgery.

So I started to improve on what is known as the gold standards, I didn’t invent anything, I simply started to use the new equipments and the collective knowledge I gathered through the years from my Vascular and general surgery background , in attempt to achieve a simple goal : “treating proctology cases especially Hemorrhoids effectively  with minimal or no pain”.

I found the surgitron unit extremely handy, gentle on the tissues, precise and leaves much less pain postoperatively than regular bovie or cold knife.

I also found that the Redfield IRC unit when used properly and in a slightly different setting than the traditional recommendations is a very effective, complications free tool.

Then came the Ligasure which solved my last problem with advanced stage 4 hemorrhoids, and made it possible for me to perform all hemorrhoids cases even the most advanced and complicated in my office, under local anesthesia with some sedation, in minutes...with the patient going back home in half an hour and going back to work the next day.

It was only natural that the improvements will spread to nearby, related topics, such as anal fissure and perianal fistula and Pilonidal cyst cases.

It was pure reputation and minimal advertising that propelled my practice to take off and get overwhelmingly busy with proctology cases, patients told other patients, and then referring Doctors started to hear that I am performing painless yet extremely effective treatments of hemorrhoids and related proctology cases in my office, on an ambulatory basis with very good results...so they started to test me with few referrals in the beginning...and when they sow the results I quickly became their main “proctology man”...It happened so quickly that I had to renovate my office and hire a CRNA and an extra nurse to handle the extra load of patients.

For the last five years, I have been doing an average of one hundred proctology case a month, I devoted three full days a week for proctology cases alone...and this practice is still going strong with no end in sight.

A year ago, I started to think that this wealth of experience should be shared with other fellow Physicians, it is part of my duty and responsibility...Then I thought that I can do more than just a journal publication or research, I can actually teach - or show - other surgeons or Family practioners how they can do it ....it will add a great dimension to any physician’s practice, and it sure will add to his/her income.

After all, deep experiences make things simpler, more effective and much safer...so not every Physician has to go through the same experiences to reach what is right to do, we should learn from each other’s experiences and freely exchange these results...The new digital world made this possible and relatively easy....So I decided to film my procedures on a daily basis...and I took permission from every patient after explaining the final goal of filming the procedure...and in less than a year during which  I had to buy large amounts of storage media and work on collecting the best and most representative of cases , then edit them to keep the most useful portions of every operation while keeping it as “ live “ as possible and adding my comment and then organizing every thing into categories and conditions and writing the steps and details from A to Z , with one simple goal in mind: 

“That is to make it possible for every physician who purchases this final product to start from the very next day to build a successful proctology practice or to add this rich dimension to his/her already busy or not so busy practice”.

I took care to describe every detail, every instrument and every technique I use, I recommended what to buy in term of equipment and how to care for it and I filmed the operations with a high resolution Camera that shows thing so clearly that you feel like you are their with me during every step of the procedure.

Among the 950 procedures I filmed I chose about 200 to edit which I found to be clearer and more effective in my purpose of teaching what I do...No attempt was made to hide mistakes or mishaps...on the contrary…I was looking for them and trying to show them...but you are going to find soon after you start  watching the course that the steps and techniques of every procedure I cover are so simple, safe and effective that you will notice a good routine to every operation that will make mistakes or mishaps extremely rare and hard to find.

After all, this is not my first attempt in publishing and teaching, Since 1994 and until today, my book “Safe Answers” for the American Board of Surgery Certifying Exam has been the most popular and widely used text for the preparation of General Surgeons for their Certifying oral exam and recertifying written exams. I update my book every year with new information and new questions in the form of presentations similar to what you would face in your daily practice or the oral Board exam and I wrote their safest answers, based on the most updated and solid references available to us.

It was probably the success of my book “Safe Answers “that encouraged me to venture into making this course..., In my mind, I had to answer my self the question:

Would I pay about a five hundred dollars to learn in few days at the comfort of my home the best and most effective and painless techniques used today in treating what represent more than 10% of the cases I face every day in my office i.e. proctology cases… And from a surgeon who happens to do this on a daily basis for the last 5000 cases and is showing live his surgical techniques with 10 to 20 examples for every step..?

My Answer was Yes...based on a simple fact...we pay for attending meetings and medical conferences several thousands dollars every year hoping to learn and enrich our knowledge with something that will add to our success and income and serve our patients better...so why not pay five hundreds to bring this success to my doorstep, and have what I can watch and listen to every day and when I want and where I want ...and ultimately be able to go the next day and apply what I learned in my practice ?

The cost of all equipments and instruments I use in my proctology practice does not exceed One month income of an average Physician, in my judgment , this will be one of the best investment that you could ever make to serve your career, not only because you will be able to build a very profitable proctology practice on it, but because many of these equipments like the IRC and The Surgitron have multiple uses and applications , and soon you will find - like I did - that these equipments will soon become so addictive that you would want to use them in almost every case you do.

I don’t want to sound like a paid advertisement...but this is my experience and it is filmed hundreds of times over for every body to see and you will be able to judge for your self soon.