Why Choose Pearl Precision Surgery

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Patient Smiling — Portland, OR — Pearl Precision Surgery

Why Choose Pearl Precision Surgery

Why we are bringing a high performance surgical solution to women.

Many women face a significant surgery related to their reproductive system sometime in their life. Hysterectomy, Fertility Restoration/Preservation, and Urinary Incontinence/Pelvic Prolapse Corrections represent the vast majority of high acuity, benign (non-cancerous) surgical procedures performed on women in the US and abroad.

With one in four women requiring a hysterectomy prior to age 60, and over ½ million of these procedures performed annually in the US, it is not surprising that these surgical services represent a significant percentage not only of the surgical population, but of the annual healthcare expenditures at a national and international level.

Historically, women requiring surgical services for problems such as endometriosis, uterine fibroids, heavy menstrual flow, infertility, urinary incontinence, and pelvic organ prolapse, were evaluated by a general ObGyn physician. With limited training and low surgical volume, these physicians are ill equipped to handle complex cases. Lower reimbursements from commercial payers, limited hours for training, and the advent of specialized fellowships with surgical focus have created a massive shift in the delivery of high quality surgery to this population.

While new technology has led to Minimally Invasive Surgical options for patients, there has also been an increase in cost to perform less invasive surgery.

The medical device companies and big pharma have only added cost and made the problem worse.

Hospital data is difficult to collect, and it is widely known that the information used by CMS to define the cost of surgery and subsequently propose pricing in the CPT and ICD system is tremendously flawed.

Recent regulations of have not only placed new focus on quality outcomes, but there is now accountability for such outcomes, and a federal mandate to spend less money on the delivery of surgical services. The new administration is intent on increasing competition in the health care marketplace and increasing access to lower cost surgical services.

Self insured large corporations have recognized over the past several years that surgical procedures are not fungible, as the CPT system implies. The quality of surgery, the outcomes, the patient satisfaction, the time off work- these variables are not identical from one practitioner to another.

But how does one find a great surgeon?

How can a corporate employer seek out the very best surgeons who can get their employee safely directed to a high quality provider?

Self-insured companies are looking for solutions.

Third party administrators are contracting directly with facilities and providers and bundled rate reimbursements are gaining ground.

The Pearl Precision Surgery high performance surgical group originated in Portland Oregon under the leadership of Dr Richard Rosenfield. After completing one of the largest case series in the world of completely outpatient advanced pelvic surgery, Dr Rosenfield and his facility began servicing patients regionally and then nationally. After proving the safety and feasibility of moving these cases which had historically been performed entirely in hospital settings to a free standing ASC, the next step was scaling the project nationally.

As within other specialties, surgeons in the upper percentile of skills tend to get invited to teach and participate in the training of younger or more amateur surgeons. Finding others in a “like specialty” capable of delivering a similar product allowed for the launch of a high performance network for women.

Pearl Precision Surgery works with all self-insured companies of all sizes in, including large self funded employers such as Target, Alberton’s, State Farm Insurance, to well-known regional and local companies and unions.

Indemnification against complications:

In order to truly stand behind the quality of care delivered by Pearl Precision Surgeons, our leadership created a strategic partnership with BLIScare, an insurance product which warranties the surgeon and surgery against complications. In order for a surgeon to indemnify his case against complications, complication rates must be extremely low. Otherwise, the cost of the insurance would simply be too high. Our surgeons are the only GYN surgeons in the US who qualify to be underwritten in such a way, which is an objective system of ensuring the highest quality surgeon. We are very proud to offer this protection with our bundled rate cases.

Our Promise

We deliver results.

When you take care of business, business takes care of you. Our quality requirements, high performance network, and pricing structure set everyone up for success, both surgically and financially.

The surgeons and centers of the Pearl Precision have successfully operated on thousands of patients. High volume surgeons and a team approach lead to better outcomes. Your surgical team within our network performs at an elite level. It’s second nature to them. They do it every day. This confidence from years of successful surgeries will help guarantee happy executives, happy surgeons, and happy patients.

Be part of the success stories. Sign up today.

Our Quality

We are bringing a high performance surgical solution to women.

Excellent health care is delivered by excellent health care professionals, from the surgeon to the front desk staff. Our surgeons have embraced challenging training to be the best at what they do, and the culture they embrace is found throughout their organization. We strive to carry this culture throughout our network, seeking only the finest surgeons and centers with the best outcomes.

Our medical director, Dr Richard Rosenfield, hand picks surgeons from across the US with specialized training and advanced skills capable of providing outpatient Gynecologic surgery for women. His innovative approach to surgery and depth of experience allow for deep collaboration with peers to provide cost effective, high quality outcomes.

Our surgeons have met rigorous criteria for selection, including review of complications, case observation, and interviews, to ensure that not only the quality of surgery, but the entire patient experience, is top notch.

We review every single surgical case with each performing facility to ensure appropriateness, approach, and scope.

Pearl Precision Surgery accesses nationwide financial data that has successfully captured surgical performance in recent years. This information gives Pearl Precision Surgery the final necessary information to confirm the candidacy of a new surgeon for the network. Pearl Precision Surgery believes that past performance is the greatest indication of future performance.

To join Pearl Precision Surgery, send us an email and start the conversation.

Our Value

For a patient, it means safety, fast recovery, a better experience, and lower out-of-pocket costs. Your safety is priority Number One and with Pearl Precision, we’re the best in the business. Your return to your best quality of life is Number Two, where your job, your relationships, and your health is ready to have you back in the game. Having the best experience through the life-changing surgery is Number Three because we know that having the surgery is an emotional journey and we want to make it the best it can possibly be. Finally, making it affordable is Number Four so your life is free of financial stress before and after is the icing on the cake.

For a business, it means controlling your company’s health care costs is important. You must control cost, manage risk, simplify processes, and focus on quality, if production is important. We deliver a menu of surgical services that is easy to understand with a price tag you can calculate and predict. Our built-in risk protection keeps your employees safe in the rare event of surgical complications, and protects your company’s pocketbook from unpredictable costs associated with prolonged hospital stay. Finally, your employees receive the best care possible with a focus on minimally invasive surgical options, allowing return to work within days as opposed to weeks or months.

For a surgeon, being rewarded for your hard-earned skillsets, enjoying a better practice exaperience, being part of a community of like-minded and similarly skilled surgeons that share best practices, and receiving solicited mentorship for a pathway to excellence is the best decision you could make.

No matter who you are, it’s an opportunity to start a conversation that will bring value to your life. Start the discussion now.

Our Three Customers

Pearl Precision and its customers

Pearl Precision Surgery has three distinct customers – Patients, Employers and Surgeons.


Taking care of our patients is patient care. It’s why we exist, it is our core competency.


Taking care of our surgeons is self care. If we don’t take care of ourselves, we can’t take care of you.


Taking care of our employers is community care. Our communities need more value in health care and women certainly need better care.

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