Natural Orifice Translumenal Endoscopic Surgery™ (NOTES®)

Natural Orifice Translumenal Endoscopic Surgery™ (NOTES®) is a new type of surgical procedure.NOTES NOSCAR

The idea of NOTES® was developed several years ago in response to the concepts that patients would realize the benefits of less invasive surgery by reducing the recovery time, experience less physical discomfort associated with traditional procedures and, have virtually no visible scarring following this type of surgery.  

All of these advantages have spurred research and investigation forward, encouraging physicians and researchers to develop new equipment and techniques to use during NOTES® procedures.

As an example, in natural orifice surgery the gallbladder might be removed through the mouth. The doctor would insert a tube down the esophagus, make a small incision in the stomach or digestive tract to gain access to the abdominal cavity and take the organ out by the same route.

A range of procedures might be performed this way, such as gastric bypass, fallopian tubal ligation, removal of the ovaries and diagnostic work. Some operations might be done via the rectum, vagina, urethra or bladder as well.

While this new series of procedures may seem a bit unorthodox, the safety and care of the patient is in the forefront as this technology develops.  Constant oversight is in place to ensure the outcomes are monitored thoroughly and the new procedures are genuinely better than those currently used. 

Dr. Domingo Galliano in the news!


General Surgery

Board Certified by the American Board of Surgery


Colon and Rectal Surgery

Board Certified by the The American Board of Colon and Rectal Surgery (ABCRS)


Surgical Critical Care

Board Certified by The American Board of Surgery


Dr. Galliano is the most experienced Board Certified Colorectal Surgeon with Da Vinci Robotic Surgery in Lee, Charlotte, Sarasota, and De Soto Counties! He has performed over 100 DaVinci Robotic procedures!


Minimally Invasive Procedures

Experience less pain, minimal scarring, faster recovery, and better results.


Robotic Surgery
via Da Vinci


Laparoscopic Surgery


FENIX for Accidental Bowel Leakage (ABL)


TEM Transanal Endoscopic Microsurgery


NOSCAR/ NOTES Painless Natural Orifice Trans-endoscopic Surgery


Solesta is a sterile gel injected into the anus to treat the symptoms of fecal incontinence.


Esophyx long-term incisionless solution for chronic acid reflux GERD


The LINX System stops acid reflux (GERD) at the source.


The Stretta procedure results in significant GERD symptom control and patient satisfaction.


STARR Staple Transanal Rectal Resection


ENTERRA -- Gastric Electrical Stimulation for Gatroparesis


Barrx - Radiofrequency Ablation in Barrett's Esophagus with Dysplasia


TIF Transoral Incisionless Fundoplication procedure corrects the root cause of GERD


ABS - Artificial Bowel Sphincter


SECCA - for incontinence


Sacral Nerve Stimulation


Anorectoplasty for anal incontinence


Pelvic rehabilitation for incontinence and constipation, anal / pelvic pain


Anal Fistula Plug