The only DC wound practice with its own ambulatory surgical suite. When intervention is appropriate, the patient walks sixty feet, not across town.
Physician-led · Hospital-grade sterility · Boutique in scale: a single OR run by the surgeon who evaluated the case.
The old pathway sent a stalled wound to a hospital across town. This one walks it down the hall: clinic in Suite 804, ambulatory surgical center in Suite 802.
The clinic and the operating suite share scheduling, intake, staff, and the chart. A wound evaluated Monday can be treated Tuesday, when clinically appropriate, without a handoff, a transfer note, or a new provider.
Every procedure delivered outpatient, after a surgical evaluation determines it’s the right step. No admission, no transfer, no travel anesthesia team.
OR-grade removal of nonviable tissue, deeper and more complete than bedside care allows.
Wound-bed preparation, incision & drainage of deep collections, and intraoperative cultures.
Biologic and skin-substitute application under sterile OR conditions, matched to the wound bed.
Negative-pressure therapy placed or revised under anesthesia, when appropriate for the case.
Fellowship-trained plastic technique for advanced wound reconstruction and limb-preservation procedures, when appropriate for the case.
Local, MAC, or regional block. Same-day discharge with on-site PACU recovery, when clinically appropriate.
Capital Surgical Center was originally built around a podiatric ambulatory practice, and that discipline still anchors the surgical case mix. A diabetic-foot or forefoot-revision patient stays with the same team through evaluation, OR, and recovery, rather than being routed into a hospital-based program.
The full DFU pathway from assessment through intervention, when appropriate: 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 evaluated the wound.
The podiatric case is managed end to end by the same practice that evaluated the wound: assessment, OR, and post-op follow-up in the wound clinic across the hall.
Fully-equipped, state-licensed ASC. Sterile surgical environment, anesthesia support, imaging, monitoring, and specialized equipment.
State ASC licensure. CMS conditions of coverage. Full QA and infection-control program. Pre-op huddle, documented time-out, and coordinated post-op follow-up in the same wound clinic that evaluated the case.
A same-day, ambulatory experience: physician-led, hospital-grade, boutique in scale. Here’s what a 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.
Most patients go home the same day, when clinically appropriate. 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), with virtual follow-up available for patients returning to home health, SNF, or assisted living. 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 continuity of care should mean.Jonathan Johnson, MD, MBA, CWSP · Surgical Director
A surgical evaluation determines whether the ASC is the appropriate next step. If it is, the pathway from evaluation to intervention to recovery stays inside one practice.