An ambulatory OR on the same floor as the wound clinic. When bedside isn’t enough, the patient walks sixty feet.
Physician-led · Hospital-grade sterility · Boutique in scale — a single OR run by the surgeon who referred the case.
Most mobile wound-care practices that need a surgical answer hand the patient to a hospital across town. We walk them down the hall.
The clinic and the operating suite share scheduling, intake, staff, and the chart. A wound we evaluate Monday can go to the OR Tuesday without a handoff, a transfer note, or a new provider.
Every procedure delivered outpatient. No admission, no transfer, no travel anesthesia team.
OR-grade excisional removal of non-viable tissue — deeper than bedside allows.
Deep abscess & osteomyelitis-adjacent collections. Loop drainage, intraop cultures.
Minor amputation, stump revision, structural correction, bone resection for osteomyelitis.
Fellowship-trained plastic technique. Local flap, skin graft, tension-free closure.
Podiatric & soft-tissue surgery at ASC grade — beyond in-office capability.
Local, MAC, regional block. Same-day discharge with on-site PACU recovery.
Capital Surgical Center was originally built around a podiatric ambulatory practice. That discipline now sits at the center of our surgical case mix — and is the line most frequently referred in by our home-care and SNF partners. Your diabetic-foot or forefoot-revision patient stays with us through OR and recovery, rather than being routed to a hospital-based foot-and-ankle program.
Full DFU pathway from bedside assessment through OR intervention: debridement, I&D of deep-space infection, bone resection for osteomyelitis, partial/ray amputation, structural correction, and closure. All outpatient, same-team continuity through post-op.
Ingrown-nail matrixectomy, exostectomy, hammertoe & claw-toe correction, partial ray resection, Charcot midfoot exostectomy. Procedures beyond in-office capability — performed in the ASC without a hospital transfer.
Local flap coverage, skin graft, tendon release, tension-free primary closure of forefoot and hindfoot wounds. Fellowship-trained plastic technique applied to the podiatric case mix.
Hallux-valgus correction, metatarsal osteotomy, revision of prior forefoot surgery, and Syme/partial-foot amputation revision. Continuity from the same surgeon who managed the wound.
No hand-off to a hospital-based foot-and-ankle service. The podiatric case is managed end-to-end by the same practice that referred the wound — bedside assessment, OR, and post-op follow-up in the wound clinic across the hall.
Fully-equipped, state-licensed ASC. Hospital-grade sterility, monitoring, and safety.
State ASC licensure. CMS conditions of coverage. Full QA and infection-control program. Pre-op huddle, documented time-out, coordinated post-op follow-up in the same wound clinic that referred the case.
A same-day, ambulatory experience: physician-led, hospital-grade, boutique in scale. Here’s what your surgery day looks like, step by step.
You’ll have a pre-op visit with the surgeon and the anesthesia team. We review your medication list, allergies, and any cardiac or diabetes considerations. You’ll receive written NPO (fasting) instructions, a ride-home requirement, and specific guidance on the morning dressing, bathing, and any holds on blood thinners. Most questions get answered on that one visit — we’re small enough to be on a first-name basis by surgery day.
You arrive at Suite 802 (2112 F St NW, 8th floor) at your scheduled time — typically 60–90 minutes before the procedure. Our intake team greets you by name, confirms consent, places an IV, and walks you to a private pre-op bay. No waiting-room bustle, no hospital registration line.
The surgeon, nurse, and anesthesia provider come to your bay for a pre-op huddle: final review of the plan, a documented surgical time-out, and your questions. Anesthesia is tailored to the case — local with MAC (monitored sedation), regional block, or general depending on the procedure. For most podiatric and wound cases, we favor local + MAC so recovery is quick.
You’re walked (or wheeled) into the OR. The team you met at intake is the same team in the room. Sterile field, hospital-grade monitoring, full surgical lighting and equipment. Procedures typically run 30–90 minutes depending on complexity.
You wake up in a private recovery bay with a dedicated nurse. Vitals are monitored, pain is managed, and your surgeon checks in personally before discharge. Most patients are stable for discharge within 60–90 minutes of procedure end.
You go home the same day. You’ll leave with written aftercare instructions, a post-op dressing plan, prescriptions (if any), the direct office number, and the surgeon’s on-call line. A designated driver must accompany you — no rideshare allowed after MAC or general anesthesia.
Post-op follow-up happens in the wound clinic across the hall (Suite 804). Your first visit is typically 3–7 days after the procedure depending on the case. We call the next morning to check in. If anything feels off at night or over the weekend, you have the on-call line — it reaches a clinician, not a call center.
The patient never has to be introduced to a new provider, repeat their history, or enter an unfamiliar facility. That’s what surgical intervention for home care should mean.Jonathan Johnson, MD, MBA, CWSP · Surgical Director
We evaluate, we operate, and we follow up — all in the same practice. Same-week surgical access for urgent referrals.