# Shomaf Nakhjo, DO Advanced Minimally Invasive Surgery > Visit Advanced Surgery NYC in Manhattan for mesh-free Shouldice inguinal hernia repair and advanced pilonidal surgery. High-volume expertise. Concierge-level care. Book a consult. This document contains the full content of all pages on this website. --- ## Specialized Surgery. Impeccable Care. **Link:** [Specialized Surgery. Impeccable Care.](https://www.meshfreeherniacenterny.com/) ([md](https://www.meshfreeherniacenterny.com/index.html.md)) **Description:** Visit Advanced Surgery NYC in Manhattan for mesh-free Shouldice inguinal hernia repair and advanced pilonidal surgery. High-volume expertise. Concierge-level care. Book a consult. Dr. Shomaf Nakhjo, America's Leader in Mesh-Free Hernia Repair and a Specialist in the Advanced Care of Pilonidal Disease in NYC ### Content #### A True Cure Mindset *NYC’s Specialist for Hernia & Pilonidal Surgery* Dr. Shomaf Nakhjo is the only high-volume surgeon on the East Coast who performs the **Shouldice Inguinal Hernia repair**, a mesh-free technique that he executes with a focus on impeccable results. Performing 400–500 hernia surgeries annually, Dr. Nakhjo provides patients in Manhattan and across the U.S. with lower recurrence rates and rapid recovery that only come from high-volume mastery. He is also one of the few U.S. specialists performing the Cleft Lift Procedure for pilonidal disease, achieving a 99% success rate. At Mesh-Free Hernia Center NYC, every patient receives concierge-level care in a private boutique setting, with Dr. Nakhjo personally performing every procedure and overseeing each recovery plan for definitive, lasting results. [Read Our Comprehensive FAQ Page on Mesh-free Shouldice Repair ](/resources/mesh-free-shouldice-repair-faq/) #### Mesh-Free Shouldice vs. Robotic and Laparoscopic Inguinal Hernia Repair *Insights from 6,000+ Cases* #### Mastery You Can Trust *Why Advanced Surgery NYC?* At Advanced Surgery NYC, we know that **there is no substitute for experience**. This boutique Manhattan practice specializes exclusively in **mesh-free Shouldice Inguinal Hernia Repair** and **Cleft Lift procedures for pilonidal disease**, delivering precision and outcomes that generalists cannot match. - Performs **400–500 hernia surgeries annually**, compared with 25–50 per year at non-specialty practices. - **Mesh-free repairs in 90% of cases**, avoiding risks associated with plastic mesh. - **Recurrence and complication rates under 0.5%**, compared to 15–20% for traditional mesh repairs. - Small incisions, advanced anesthesia options, and Exparel for **rapid recovery and minimal downtime**. - Most patients are **fully active the next day **and return to work within 1–2 days. - Private, concierge-level care: phones answered by staff, questions always addressed, every patient treated like family. - Internationally recognized and trusted by **patients and athletes from across the country**. #### Dr. Shomaf Nakhjo *NYC’s Hernia & Pilonidal Specialist* Dr. Shomaf Nakhjo is a fellowship-trained surgeon with expertise in advanced minimally invasive procedures. Early in his career, he performed a broad range of laparoscopic surgeries, developing the technical mastery and judgment that now define his practice. Over time, Dr. Nakhjo recognized growing patient concerns about plastic mesh in inguinal hernia repair. After performing thousands of laparoscopic hernia cases, he focused exclusively on the Shouldice Inguinal Hernia Repair, a mesh-free technique that delivers reliable outcomes while minimizing the risks associated with synthetic mesh. In his boutique NYC practice, every patient receives personalized care, meticulous attention, and surgical solutions designed for lasting results. [About Our Doctor](/about/dr-shomaf-nakhjo/) #### An Expert in Precision *Dr. Nakhjo's Philosophy* Dr. Nakhjo’s practice embodies precision and personalized care. By employing *advanced surgical techniques*, he tailors treatments to meet your unique needs. Dr. Nakhjo goes beyond addressing medical concerns—he seeks to understand your life as a whole, ensuring each treatment is perfectly aligned with your requirements. With a foundation of personal connection, he applies innovative methods for optimal results, enhancing your life with minimal discomfort and downtime. #### Trust Is Worth The Trip. *Travel to NYC for Advanced Surgery* Patients come to **Advanced Surgery NYC** from across the country, and often from around the world, for one reason: Dr. Nakhjo isn’t a general surgeon who “also” treats hernias and pilonidal disease. He is a true high-volume specialist. When you want a mesh-free Shouldice repair performed day in and day out, or a Cleft Lift procedure with a proven, consistent success rate, travel becomes a smart decision, not an inconvenience. From California to international destinations, patients choose this Manhattan boutique practice for precision, privacy, and results that hold up long after they return home. #### Real Patients. Real Relief. *Stories from Dr. Nakhjo’s Patients* Hear directly from patients who traveled to Advanced Surgery NYC for mesh-free hernia repair and curative pilonidal surgery, and finally got their lives back. These stories reflect what matters most: clear answers, meticulous care, and results that hold up long after surgery. [Video Testimonials](https://www.advancedsurgerynj.com/testimonials/hernia-testimonials/) #### “...Simply the Best.” *Patient Testimonials* --- ## 404 **Link:** [404](https://www.meshfreeherniacenterny.com/404/) ([md](https://www.meshfreeherniacenterny.com/404/index.html.md)) **Description:** 404 | Page Not Found Page Not Found ### Content [Back To Home Page](/) --- ## About Us, NYC **Link:** [About Us, NYC](https://www.meshfreeherniacenterny.com/about/) ([md](https://www.meshfreeherniacenterny.com/about/index.html.md)) **Description:** About Mesh-Free Hernia Center NYC, with Shomaf Nakhjo, DO. ### Content --- ## About Us **Link:** [About Us](https://www.meshfreeherniacenterny.com/about/dr-shomaf-nakhjo/) ([md](https://www.meshfreeherniacenterny.com/about/dr-shomaf-nakhjo/index.html.md)) **Description:** About Dr. Shomaf Shomaf Nakhjo, DO Mesh-Free Hernia Center ### Content *Dr. Shomaf Nakhjo* Dr. Nakhjo is a fellowship-trained surgeon specializing in advanced minimally invasive surgery. Early in his career, he performed a wide variety of laparoscopic procedures, honing his skills in minimally invasive techniques. After several years in private practice, Dr. Nakhjo recognized a growing patient concern regarding the use of plastic mesh in inguinal hernia repair. After several thousand laparoscopic inguinal hernia repairs with mesh, Dr. Nakhjo also understood the potential risks and limitations of traditional mesh-based repairs. This led him to offer a mesh-free alternative, in particular the Shouldice Inguinal Hernia Repair which aligned well with patients seeking an alternative to plastic mesh repair. Over the past five years, he has focused on performing the Shouldice Inguinal Hernia Repair, a proven, mesh-free method for inguinal hernia repair. This approach allows patients to benefit from equally effective, minimally invasive surgery while avoiding the complications that can arise with plastic mesh repair. #### Compassionate Care Through Technology At the foundation of our practice is our relationship with our patients. We take the time to get to know everyone who walks through our doors on a personal level to provide the highest quality care in every aspect of your treatment. With a clear understanding of who you are as an individual, Dr. Nakhjo applies the most advanced techniques in minimally invasive surgery to resolve your concerns without the pain and downtime of traditional open surgery. Dr. Nakhjo offers unsurpassed specialty in NYC, offering solutions that are not available with other providers. Begin your journey with us to experience the difference that compassionate care and advanced technology can make in your life. --- ## Our Staff **Link:** [Our Staff](https://www.meshfreeherniacenterny.com/about/our-staff/) ([md](https://www.meshfreeherniacenterny.com/about/our-staff/index.html.md)) **Description:** Our Staff Shomaf Nakhjo, DO Mesh-Free Hernia Center ### Content *Cheryl Stefanacci, AMA-CMA* Meet Cheryl, our dedicated office manager, committed to delivering the highest standard of care to our patients. She guides our patients through the surgical process with both expertise and compassion. Cheryl ensures that every aspect of our practice operates seamlessly, with her top priority being optimal patient satisfaction at Dr. Nakhjo's office. *Sue Pronesti, AMA-CMA* Meet Sue, one of the first faces you’ll see when you enter Dr. Nakhjo's office. As a dedicated Medical Assistant, she plays a vital role in our team, driven by her passion for healthcare. Sue's genuine care for others shines through in her daily work, as she combines personal attention with years of diverse experience to enhance our practice. --- ## Accessibility **Link:** [Accessibility](https://www.meshfreeherniacenterny.com/accessibility/) ([md](https://www.meshfreeherniacenterny.com/accessibility/index.html.md)) **Description:** Accessibility Statement for Mesh-Free Hernia Center NYC. ### Content **General** We strive to ensure that its services are accessible to people with disabilities. We have invested a significant amount of resources to help ensure that its website is made easier to use and more accessible for people with disabilities, with the strong belief that website accessibility efforts assist all users and that every person has the right to live with dignity, equality, comfort and independence. **Accessibility on Our Site** We make available Shomaf Nakhjo, DO Mesh-Free Hernia Center's Web Accessibility Widget, which allows us to improve this site's compliance with the Web Content Accessibility Guidelines (WCAG 2.1). **Enabling the Accessibility Menu** Our accessibility menu can be enabled by clicking the accessibility menu icon that appears on the corner of the page. After triggering the accessibility menu, please wait a moment for the accessibility menu to load in its entirety. **Disclaimer** We continue our efforts to constantly improve the accessibility of its site and services in the belief that it is our collective moral obligation to allow seamless, accessible and unhindered use also for those of us with disabilities. In an ongoing effort to continually improve and remediate accessibility issues, we also regularly scan our site with UserWay's [Accessibility Scanner](https://userway.org/scanner) to identify and fix every possible accessibility barrier on our site. Despite our efforts to make all pages and content on our site fully accessible, some content may not have yet been fully adapted to the strictest accessibility standards. This may be a result of not having found or identified the most appropriate technological solution. **Here For You** If you are experiencing difficulty with any content on our site or require assistance with any part of our site, please contact us during normal business hours as detailed below and we will be happy to assist. **Contact Us** If you have any questions, need assistance, or want to report an accessibility issue, please call us at [(973) 383-2222](tel:(973) 383-2222) or fill out the [contact form](/contact/) on our website. --- ## Blog **Link:** [Blog](https://www.meshfreeherniacenterny.com/blog/) ([md](https://www.meshfreeherniacenterny.com/blog/index.html.md)) **Description:** Blog for Mesh-Free Hernia Center NYC and Shomaf Nakhjo, DO. ### Content --- ## FAQs: Pilonidal Disease **Link:** [FAQs: Pilonidal Disease](https://www.meshfreeherniacenterny.com/blog/faqs-pilonidal-disease/) ([md](https://www.meshfreeherniacenterny.com/blog/faqs-pilonidal-disease/index.html.md)) **Description:** Dr. Shomaf Nakhjo, leader in the treatment of Pilonidal Disease, explains how the Cleft Lift is a permanent solution for this chronic condition. Shomaf Nakhjo, DO Mesh-Free Hernia Center ### Content ## What Is Pilonidal Disease? **Pilonidal disease is a chronic condition that causes infection in a pocket beneath the skin, typically occurring in the natal cleft (the lower center of the back above the buttocks)**. This condition is caused when hair, debris, moisture, and pus collect, creating a small pit that tunnels its way into multiple branches beneath the skin. While antibiotics and abscess draining can provide temporary relief, *surgery is the only definitive treatment that can cure the disease*. ## What are conventional treatments for Pilonidal Disease? Acute phase treatment of the disease involves the use of antibiotics, and if necessary, abscess drainage. However, for long-term treatment, surgery is required. Traditionally, it has been believed that [pilonidal disease](/pilonidal-cyst/) is a congenital condition that results from trapped hair and debris deep within the skin. However, most procedures performed by non-specialists are still based on this theory and often leave the wound open, which requires daily dressing changes for 1-3 months and can be disruptive and painful to everyday life. In addition, recurrence rates are high, up to 35-40%. ## Is there a long-term, permanent treatment for Pilonidal Disease? **The Cleft Lift Procedure is considered the best surgical option for preventing recurring pain and infection from pilonidal disease**. This procedure involves removing pitted or scarred midline skin from one side of the cleft, shifting fat and skin on the opposite side of the natal cleft, and drawing the deeper tissues together to re-contour the cleft. The resulting wound is off to the side of the midline, exposed to air, and can heal well, resulting in minimal discomfort for patients. Complications are rare, and the most common one is a separation of the wound edges where tension is high, which usually resolves in 2-3 weeks. Recurrence can happen in 1-5% of cases. ## Learn More about Pilonidal Disease If you want to *learn more about pilonidal disease, treatments, and the cleft lift procedure*, schedule a consultation at [our office](/consultation/) with [Dr. Nakhjo](/about/dr-shomaf-nakhjo/) today. --- ## Mesh vs. No Mesh **Link:** [Mesh vs. No Mesh](https://www.meshfreeherniacenterny.com/blog/mesh-vs-no-mesh/) ([md](https://www.meshfreeherniacenterny.com/blog/mesh-vs-no-mesh/index.html.md)) **Description:** There has been a growing case for both sides of mesh vs. non-mesh treatments for hernia surgery. Shomaf Nakhjo, DO, addresses the pros and cons of each. Shomaf Nakhjo, DO Advanced Minimally Invasive SurgeryConsultation ### Content The human body consistently demonstrates a preference for its own natural tissues, and this principle holds true in the context of [hernia surgery](/hernia/). The abdominal wall, a complex structure composed of layers of muscle and fascia designed to flex and bear tension for bodily movement, becomes strained when subjected to anything disrupting its natural mobility. Historically, **non-mesh hernia repairs have been considered the gold standard for over a century**, offering exceptional results in the hands of skilled surgeons who specialize in natural tissue techniques. However, not all practitioners were adept at these methods, resulting in variable recurrence rates. *The introduction of synthetic mesh in the mid-20th century seemed promising, as it reduced overall recurrence rates when used by surgeons who didn't specialize in hernia repair*. However, it came with unforeseen consequences, as its long-term effects remained unexplored. Today, *the debate over the benefits and risks of using mesh in hernia repair remains contentious*. Ongoing research is delving into the intricate interactions between mesh and the human body. Despite the extensive literature on the topic, the information can be contradictory due to commercial interests conflicting with scientific inquiry. After 120 years of natural-tissue repair and 30 years of established mesh repairs, it's evident that all techniques yield roughly equivalent hernia recurrence rates when performed by non-specialist surgeons. Mesh has reduced recurrence rates to approximately 5% for these practitioners. However, **specialized hernia centers like ours that focus on natural-tissue inguinal hernia repair have consistently achieved even better outcomes with recurrence rates of less than 1%**. ## Mesh usage can be associated with significant complications: - Infection: Addressing infection can require long-term antibiotics and possibly complicated removal of mesh if antibiotics fail. - Foreign body reaction: The body attempts to eliminate the foreign mesh. - Mesh movement: Mesh can become loose, migrate, fold, or entrap nerves. - Mesh shrinkage: As scar tissue shrinks, it contracts the mesh, forming a hardened, nerve-embedded mass. - Mesh material: Mesh fibers can trap nerves and harden over time, leading to adhesion to surrounding tissues, nerves, and organs. These complications can result in chronic pain, sexual issues, severe infections, hernia recurrence, and complex mesh removal surgeries. Natural tissue hernia repair carries none of these risks, as the scar tissue left behind poses no danger. *While mesh has a role in hernia surgery when the patient's own tissues are insufficient to support repair, its use should be driven by surgical necessity*. A thorough assessment of the patient's tissue and a comprehensive evaluation of the risks and benefits of mesh usage should guide this decision. Mesh should never be chosen for convenience, cost-effectiveness, or due to a lack of expertise in natural-tissue techniques. To learn more, call [Mesh-Free Hernia Center](/) at [(973) 383-2222](tel:(973) 383-2222) to schedule a [consultation](/consultation/). --- ## Pilonidal Abscess: A Stress-Free Guide **Link:** [Pilonidal Abscess: A Stress-Free Guide](https://www.meshfreeherniacenterny.com/blog/pilonidal-abscess-a-stress-free-guide/) ([md](https://www.meshfreeherniacenterny.com/blog/pilonidal-abscess-a-stress-free-guide/index.html.md)) **Description:** Dr. Shomaf Nakhjo, leader in the treatment of Pilonidal Disease, answers questions about the treatment of a Pilonidal Abscess. Shomaf Nakhjo, DO Mesh-Free Hernia Center ### Content ## What to do if you think you have a pilonidal abscess? Have no fear. With the correct treatment, it gets better quickly! Symptoms that require immediate action include pain, redness, swelling, drainage, and fever. Call your nearest general surgeon or, more preferably, a *pilonidal specialist*. It is advantageous if you see a pilonidal specialist first because you can establish a relationship with a [pilonidal specialist](/pilonidal-cyst/), and they can plan the appropriate course of treatments that will give you the best possible outcomes with the least amount of setbacks. For example, most practitioners (not knowingly) will make the incision for the abscess in the middle of the pilonidal wound. This creates a potential problem because the wound can take longer to heal or may never heal if performed in this way. *The best way is to drain it off the “midline,” so the pilonidal wound has the quickest and best chance of healing*. If neither is available immediately, contact your primary care doctor or go to your nearest urgent care center or emergency room. Our office is always available to help you in an acute situation and can either treat you directly if you are in the area or at least guide you in the interim until more definitive care can be given in the future. **If possible, the initial treatment for an acute pilonidal abscess is oral antibiotics for two weeks and a culture**. If there is a drainable abscess, it will be performed in the office under local anesthesia. If the abscess is too large and painful, we would have to send the patient to the local emergency department for drainage of the pilonidal abscess under general anesthesia. After drainage, the pilonidal wound is packed with a special gauze, and specific wound care instructions will be given to you. The wound usually heals within two weeks. Most patients can shower the next day and resume normal daily functions with little limitations after a day or two. ## Can Acute Pilonidal Abscess be treated from home? We do not recommend this approach to treat an acute pilonidal abscess. However, if absolutely needed because of time, money, or having no access to immediate medical care and symptoms are MILD, it can sometimes be treated from home. But ALWAYS speak to someone or follow up with a medical professional as soon as possible. Do not try to open it with a sharp instrument, and do not squeeze with your finger. One effective strategy is to apply warm, moist compresses to the area for about 15 minutes four times daily. You can also add soaking in warm water with or without Epsom salt. *Oral antibiotics are an adjunct to treatment and are necessary*. However, the majority of the treatment for the abscess alone is for it to drain, either spontaneously or surgically. Topical antibiotics do not penetrate the skin and have little role in treating an acute pilonidal abscess. It can help cool down surrounding skin inflammation and can use things like tea tree oil, bacitracin, witch hazel, Hibiclens, or Neosporin ointment. *If the pilonidal abscess does not drain within 24 hours and your symptoms do not improve, you must seek immediate medical attention*. Infections can spread rapidly and, if not controlled, can lead to a localized spread of infection. Ultimately, bacteria can enter the bloodstream and cause a drop in blood pressure and a severe life-threatening condition known as sepsis. ## What is the next treatment after the abscess is thoroughly healed and treated? If the pilonidal wound is thoroughly healed and stable, it may never return, and definitive surgical management may not be needed. Nevertheless, the wound should be seen, and your case should be discussed with your pilonidal surgeon. **Unfortunately, pilonidal abscess drainage is only to fix the immediate, acute problem and does not prevent future occurrences**. Often they come back and or never heal completely and become a chronic condition. This is why developing a relationship with your pilonidal surgeon is important to discuss your course of action. Options include a “wait and see” approach if the pilonidal abscess is completely healed and it's the first time or possible definitive surgical management. Don't let that get you down because, ultimately, you will be cured! One way or another! If conservative management has failed and the [pilonidal disease](/pilonidal-cyst/) is recurrent or chronic, surgical treatment is best. The procedure with the highest cure rate is the Cleft Lift Procedure, and has a less than 5% fail rate. It has become the gold standard in the treatment of pilonidal disease. I am one of the very few surgeons across the country that can perform the procedure, and I have dedicated most of my practice to it. ## Is it a painful operation? *Most patients tell me that the treatment of a pilonidal abscess is much more painful and inconvenient than getting the Cleft Lift procedure*. The recovery is immediate, with most not needing any pain medications after surgery and are fully functional. **Learn more about the Pilonidal Abcess Treatment** by contacting [Dr. Nakhjo](/about/dr-shomaf-nakhjo/) at [Mesh-Free Hernia Center](/) to schedule a [consultation](/consultation/). --- ## Consultation **Link:** [Consultation](https://www.meshfreeherniacenterny.com/consultation/) ([md](https://www.meshfreeherniacenterny.com/consultation/index.html.md)) **Description:** Schedule your private consultation with Dr. Nakhjo to discuss the most advanced minimally invasive surgical options in NYC. Shomaf Nakhjo, DO Mesh-Free Hernia Center ### Content #### The First Step To Relief *A New Benchmark for the Patient Experience* What sets Dr. Nakhjo apart is not only his exceptional skill and innovative techniques, but also his ability to provide patients with a thorough and personable experience from the first time they step into our office. During your consultation, Dr. Nakhjo will assess your concerns, medical history, lifestyle, and treatment preferences to help you design your optimally personalized treatment plan. Schedule your consultation today to begin your journey with renowned minimally invasive surgery specialist, Dr. Shomaf Nakhjo. #### The Intersection of Luxury and Lifesaving Precision *What to Expect* Located at 1021 Park Avenue, our suite offers a discreet environment where your surgical concerns receive undivided attention. Unlike large hospital systems, Dr. Nakhjo personally manages every aspect of your case. You are not just a chart number; you are a patient seeking the highest level of technical skill available on the East Coast. A consultation with Dr. Nakhjo is a comprehensive review of your surgical history and your goals for a life without recurrence. #### Step Into the Circle of Elite Care *Initiate Your Recovery* A permanent solution to your pain or discomfort is within reach. We invite you to experience the difference that high-volume expertise and a "patient-as-family" philosophy can make. --- ## Contact Us **Link:** [Contact Us](https://www.meshfreeherniacenterny.com/contact/) ([md](https://www.meshfreeherniacenterny.com/contact/index.html.md)) **Description:** Contact us to schedule your consultation to discuss advanced minimally invasive surgery options in NYC with Dr. Shomaf Nakhjo. Specializing in mesh-free Shouldice hernia repair and Cleft Lift pilonidal surgery. Shomaf Nakhjo, DO Mesh-Free Hernia Center ### Content #### Contact Us *World-Class Surgery. Concierge Care. Park Avenue Precision.* At the practice of Shomaf Nakhjo, DO, we believe that elite surgical outcomes begin with an elite patient experience. Whether you are seeking a permanent solution for pilonidal disease or the East Coast’s premier mesh-free hernia repair, our team is available to ensure your journey is seamless, private, and definitive. #### The Concierge Connection *Get In Touch With Us* If you are interested in scheduling an appointment to discuss minimally invasive surgery in NYC, please contact us using the method that is most convenient for you. We are happy to answer any questions you may have about treatment with Dr. Nakhjo and will provide you with all the necessary resources to ensure a smooth, enjoyable experience from start to finish. Located in the heart of the Upper East Side, our Park Avenue suite is designed for patients who demand painstaking detail and individualized service. #### Secure Your Private Consultation *Out-of-Town Patients* Dr. Nakhjo regularly treats patients from across the country and around the world who are seeking the Shouldice Technique or the Cleft Lift Procedure. If you are traveling to NYC, please notify our concierge team. We offer streamlined consultation-to-surgery scheduling to accommodate your travel itinerary and ensure your recovery is handled with the highest level of care. [Book You Virtual Consultation](/virtual-consultation/) --- ## Notice To Patients Open Payments Database **Link:** [Notice To Patients Open Payments Database](https://www.meshfreeherniacenterny.com/open-payment-database-notice/) ([md](https://www.meshfreeherniacenterny.com/open-payment-database-notice/index.html.md)) **Description:** Open Payments Database ### Content For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided here. The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospital be made available to the public. You may search this federal database for payments made to physicians and teaching hospitals by visiting this website: [https://openpaymentsdata.cms.gov/](https://openpaymentsdata.cms.gov/) --- ## Privacy Policy **Link:** [Privacy Policy](https://www.meshfreeherniacenterny.com/privacy-policy/) ([md](https://www.meshfreeherniacenterny.com/privacy-policy/index.html.md)) **Description:** This privacy policy has been compiled to better serve those who are concerned with how their ‘Personally Identifiable Information’ (PII) is being used online. View Shomaf Nakhjo, DO, Mesh-Free Hernia Center's Privacy Policy here. ### Content #### Privacy Policy *Shomaf Nakhjo, DO Mesh-Free Hernia Center* This privacy policy has been compiled to better serve those who are concerned with how their ‘Personally Identifiable Information’ (PII) is being used online. PII, as described in US privacy law and information security, is information that can be used on its own or with other information to identify, contact, or locate a single person, or to identify an individual in context. Please read our privacy policy carefully to get a clear understanding of how we collect, use, protect, or otherwise handle your Personally Identifiable Information in accordance with our website. *Privacy PolicyFrequently Asked Questions* *Contacting Us* If there are any questions regarding this privacy policy, you may contact us using the information below. **Shomaf Nakhjo, DO Mesh-Free Hernia Center** 1021 Park Avenue, Suite 105 NY, NY 10028 (973) 381-9297 --- ## Resources **Link:** [Resources](https://www.meshfreeherniacenterny.com/resources/) ([md](https://www.meshfreeherniacenterny.com/resources/index.html.md)) **Description:** Resources page for Mesh-Free Hernia Center NYC and Shomaf Nakhjo, DO. ### Content --- ## Before and After Your Surgery **Link:** [Before and After Your Surgery](https://www.meshfreeherniacenterny.com/resources/before-after-care/) ([md](https://www.meshfreeherniacenterny.com/resources/before-after-care/index.html.md)) **Description:** Before and After Surgical instructions in NYC | Your proper preparation for your surgery and diligent recovery procedures afterward are vitally important. Here’s how you do it to maximize surgical safety and success. Shomaf Nakhjo, DO Mesh-Free Hernia Center ### Content #### Maximize Your Surgical Safety and Results! *Before and After Checklist for your surgery performed by Dr. Shomaf Nakhjo* Ultimately, the Most Valuable Player on your surgical team is you. Preparing properly for your procedure and diligently following postsurgical recovery instructions are vitally important in achieving a safe and optimal surgical outcome. At Mesh-Free Hernia Center in NYC, Dr. Shomaf Nakhjo has compiled this detailed patient “roadmap” to surgical success. Dr. Nakhjo regards his patients as family members and always wants to provide them with support, peace of mind, and confidence. #### Personalizing Your Treatment *Your surgical consultation* Ask questions. Dr, Nakhjo is a great listener. Be candid and forthcoming about your surgical goals and concerns. Don’t hold back! Dr. Nakhjo will meticulously review your medical history to formulate a “game plan” for your surgery. He will explain the procedure in detail and outline your possible anesthesia options. But keep in mind that a final decision on your anesthesia will not be made until the evening before your surgery. You may be directed to suspend the use of any supplements or medications that could lead to surgical complications. #### Kicking bad habits and forming good ones *Surgery Preparation* The period leading up to your surgery can provide a perfect opportunity to strengthen your body and condition your mind. - If you smoke, quit. Surgery and nicotine do not pair well. - Be honest about your alcohol consumption, and cut back if you need to. - Clean up your diet. - Get in better shape. - Think positively. #### Plan For Assistance During Your Recovery *Your “Support Person” or “Surgical Buddy”* Identify and confirm a point person to help you through your surgical journey. This “buddy” should be available to provide you with transportation to and from your procedure, as well as personal assistance for at least a day after you get home. #### Plan For Success *You Can Depend on Dr. Shomaf Nakhjo at Mesh-Free Hernia Center in NYC.* We are here for you. Serving you is our reason for being here. Schedule a consultation with Dr. Nakhjo either by registering here at advancedsurgerynyc.com or by calling [.inline-block][(973) 383-2222](tel:(973) 383-2222).[] #### Your most important conversation *Undergo Anesthesia Safely* Answer all of your anesthesiologist’s questions and feel free to pose any and all questions you would like to. This is not the time for even mild fibbing. Disclose whether you smoke, drink, use prescription or non-prescription drugs so that your anesthesiologist can determine the type and dose of anesthesia that is the most effective and safest for you. #### It’s “Game Day!” *On The Day of Your Surgery* Make sure you carefully follow your instructions as to when to stop eating and drinking. Pack the following: - All of your current medications in their original packaging - Your medical insurance card - Your glasses and any other personal aids such as hearing devices, walking support devices, and dentures - A small amount of cash—perhaps 20 dollars—to buy snacks or other items - Your mobile phone and charger - A pen and paper to write down important information Leave your valuables at home, but make sure you have a photo ID. Wear loose clothing that is easy to put on and take off. Check-in time is generally 1-2 hours before your scheduled surgical start time. #### Getting Your Surgery Underway *Pre-op* After a nurse calls you back to prepare for your surgery, your medical team will confirm your name, date of birth, and the type and anatomical location of your surgery. Your nurse will then start an IV to provide a pathway for your anesthesia. #### OK! Your Surgery Went Great! *Now let’s “finish the job” with a spectacular recovery!* Following recovery instructions is almost as important as your surgical procedure itself. *When to Call Your Doctor* Your care extends far beyond your surgery. If you experience any of the following symptoms, please call our office right away, so Dr. Nakhjo can assess your condition and ensure you are recovering as planned: - Have redness around your wound - Have pain that is not controlled by your prescribed medications - Notice a foul smell or pus coming from your wound - See broken stitches resulting in an open wound - Have difficulty urinating or defecating *Before & After CareFrequently Asked Questions* --- ## Patient Forms **Link:** [Patient Forms](https://www.meshfreeherniacenterny.com/resources/forms/) ([md](https://www.meshfreeherniacenterny.com/resources/forms/index.html.md)) **Description:** Dr. Nakhjo aims to make every aspect of your minimally invasive surgery as easy as possible. Our online patient forms can help make your treatment more expedient. Shomaf Nakhjo, DO Mesh-Free Hernia Center ### Content #### Begin Your Partnership With Us Our goal is to provide with the most enjoyable treatment experience from start to finish. By filling out the forms below prior to your appointment, you can arrive at our office fully prepared for expedient, streamlined treatment. --- ## Hernia FAQs **Link:** [Hernia FAQs](https://www.meshfreeherniacenterny.com/resources/hernia-faq/) ([md](https://www.meshfreeherniacenterny.com/resources/hernia-faq/index.html.md)) **Description:** Dr. Shomaf Nakhjo, leader in the treatment of Hernias, provides answers to frequently asked questions. Shomaf Nakhjo, DO Mesh-Free Hernia Center ### Content *HerniaFrequently Asked Questions* --- ## Hernia Testimonials **Link:** [Hernia Testimonials](https://www.meshfreeherniacenterny.com/resources/hernia-testimonials/) ([md](https://www.meshfreeherniacenterny.com/resources/hernia-testimonials/index.html.md)) **Description:** Read what Dr. Nakhjo’s patients have to say about their hernia treatment! Shomaf Nakhjo, DO Mesh-Free Hernia Center ### Content *Delivering a Personalized Experience to Every Patient* Dr. Shomaf Nakhjo consistently delivers and exceptional, patient-focused treatment experience to men and women in NYC. Read the reviews below to hear what Dr. Nakhjo’s patients have to say. --- ## Mesh Free Shouldice Repair FAQs **Link:** [Mesh Free Shouldice Repair FAQs](https://www.meshfreeherniacenterny.com/resources/mesh-free-shouldice-repair-faq/) ([md](https://www.meshfreeherniacenterny.com/resources/mesh-free-shouldice-repair-faq/index.html.md)) **Description:** Dr. Shomaf Nakhjo, leader in the treatment of Mesh Free Shouldice Repair, provides answers to frequently asked questions. Shomaf Nakhjo, DO Mesh-Free Hernia Center ### Content *Frequently Asked Questions about the Mesh Free Shouldice Repair for Inguinal Hernia* --- ## Out of Town and International Patients **Link:** [Out of Town and International Patients](https://www.meshfreeherniacenterny.com/resources/out-of-town-and-international-patients/) ([md](https://www.meshfreeherniacenterny.com/resources/out-of-town-and-international-patients/index.html.md)) **Description:** Dr. Shomaf Nakhjo at Mesh-Free Hernia Center welcomes patients from around the globe! We want to ensure your stay is as comfortable as possible. Shomaf Nakhjo, DO Mesh-Free Hernia Center ### Content *See where patients have traveled from to receive care from Dr. Nakhjo.* We are delighted to extend our warmest greetings to all out-of-town and international patients seeking care at Mesh-Free Hernia Center. We routinely see patients who come from afar and have treated patients from all over the USA, Canada, and even India! We understand that traveling for medical treatment can be an overwhelming experience, and we are committed to ensuring that your journey with us is as smooth and comfortable as possible. Our highly skilled team of surgeons and medical professionals is dedicated to providing top-notch care and personalized treatment plans tailored to your unique needs. We offer a comprehensive range of surgical services, cutting-edge technology, and a state-of-the-art facility, ensuring that you receive the best possible medical attention. As an out-of-town or international patient, you can expect a seamless experience from the moment you reach out to us. Here is what you can anticipate: - Initial Consultation: Before you travel, we encourage you to get in touch with our team to schedule an initial consultation. This meeting can be conducted in person, via video conferencing, or through phone calls, depending on your convenience. - Pre-Visit Assistance: Our office is available and happy to assist you with travel arrangements, accommodation suggestions, and any logistical support you may need while planning your trip. - Medical Records Transfer: To streamline your care, we request that you share relevant medical records, imaging, and test results with us before your visit. This helps our surgeons gain a comprehensive understanding of your health history. - Customized Treatment Plan: Our surgeons will carefully assess your condition and create a personalized treatment plan that aligns with your health goals and preferences. - Coordination of Care: Throughout your journey with us, our patient care team will be in constant communication with you, ensuring that all your questions are answered and your concerns are addressed. - Post-Operative Support: After your surgical procedure, we will provide detailed post-operative instructions, and our team will be available to assist you during your recovery period. Most times, the post-operative visit does not have to be in person and can be done remotely. - Cultural Sensitivity: We are sensitive to cultural differences and will strive to accommodate your specific cultural and dietary preferences during your stay. We recognize the importance of trust, comfort, and compassionate care, and our aim is to make your time with us a positive and reassuring experience. Your health and well-being are our utmost priority, and we look forward to being a part of your journey toward better health. If you have any questions or need further information, please do not hesitate to contact us. We are eager to assist you in any way we can. Safe travels, and we eagerly await the opportunity to welcome you to Mesh-Free Hernia Center! --- ## Pilonidal FAQs **Link:** [Pilonidal FAQs](https://www.meshfreeherniacenterny.com/resources/pilonidal-faq/) ([md](https://www.meshfreeherniacenterny.com/resources/pilonidal-faq/index.html.md)) **Description:** Dr. Shomaf Nakhjo, leader in the treatment of Pilonidal Disease, provides answers to frequently asked questions. Shomaf Nakhjo, DO Mesh-Free Hernia Center ### Content *PilonidalFrequently Asked Questions* --- ## Pilonidal Disease Glossary **Link:** [Pilonidal Disease Glossary](https://www.meshfreeherniacenterny.com/resources/pilonidal-glossary/) ([md](https://www.meshfreeherniacenterny.com/resources/pilonidal-glossary/index.html.md)) **Description:** Dr. Shomaf Nakhjo, leader in the treatment of Pilonidal Disease, provides and defines common terms. Shomaf Nakhjo, DO Mesh-Free Hernia Center ### Content #### Common Terminology Associated With Pilonidal Disease --- ## Pilonidal Testimonials **Link:** [Pilonidal Testimonials](https://www.meshfreeherniacenterny.com/resources/pilonidal-testimonials/) ([md](https://www.meshfreeherniacenterny.com/resources/pilonidal-testimonials/index.html.md)) **Description:** Read what Dr. Nakhjo’s patients have to say about their pilonidal treatment in NYC! Shomaf Nakhjo, DO Mesh-Free Hernia Center ### Content #### Delivering a Personalized Experience to Every Patient *Dr. Shomaf Nakhjo consistently delivers and exceptional, patient-focused treatment experience to men and women in NYC. Read the reviews below to hear what Dr. Nakhjo’s patients have to say.* --- ## Sitemap **Link:** [Sitemap](https://www.meshfreeherniacenterny.com/sitemap/) ([md](https://www.meshfreeherniacenterny.com/sitemap/index.html.md)) **Description:** Navigate the official website of Dr. Shomaf Nakhjo. Access information on the Shouldice hernia repair, Cleft Lift pilonidal surgery, and our Park Avenue concierge services. --- ## Terms of Service **Link:** [Terms of Service](https://www.meshfreeherniacenterny.com/terms-of-service/) ([md](https://www.meshfreeherniacenterny.com/terms-of-service/index.html.md)) **Description:** This Terms of Service describes Our policies and procedures on the collection, use and disclosure of Your information when You use the Service and tells You about Your privacy rights and how the law protects You. ### Content Last updated: 26 January 2026 This Terms of Service describes Our policies and procedures on the collection, use and disclosure of Your information when You use the Service and tells You about Your privacy rights and how the law protects You. We use Your Personal data to provide and improve the Service. By using the Service, You agree to the collection and use of information in accordance with this Privacy Policy. Interpretation and Definitions Interpretation The words of which the initial letter is capitalized have meanings defined under the following conditions. The following definitions shall have the same meaning regardless of whether they appear in singular or in plural. Definitions For the purposes of this Terms of Service: - **Account** means a unique account created for You to access our Service or parts of our Service. - **Company** (referred to as either “the Company”, “We”, “Us” or “Our” in this Agreement) refers to Shomaf Nakhjo, DO Advanced Minimally Invasive Surgery, [1021 Park Avenue, Suite 105, New York, NY 10028](https://www.google.com/maps/place/Dr.+Shomaf+Nakhjo+-+Advanced+Minimally+Invasive+Surgery/@40.7791296,-73.9665775,3252m/data=!3m1!1e3!4m6!3m5!1s0x89c2597c3e118b67:0xcf89934b624a75be!8m2!3d40.7794718!4d-73.9572669!16s%2Fg%2F11mktwm4mp?entry=ttu&g_ep=EgoyMDI2MDIxNi4wIKXMDSoASAFQAw%3D%3D) - . - **Cookies** are small files that are placed on Your computer, mobile device or any other device by a website, containing the details of Your browsing history on that website among its many uses. - **Country** refers to: USA - **Device** means any device that can access the Service such as a computer, a cellphone or a digital tablet. - **Personal Data** is any information that relates to an identified or identifiable individual. - **Service** refers to the Website. - **Service Provider** means any natural or legal person who processes the data on behalf of the Company. It refers to third-party companies or individuals employed by the Company to facilitate the Service, to provide the Service on behalf of the Company, to perform services related to the Service or to assist the Company in analyzing how the Service is used. - **Usage Data** refers to data collected automatically, either generated by the use of the Service or from the Service infrastructure itself (for example, the duration of a page visit). - **Website** refers to Shomaf Nakhjo, DO Advanced Minimally Invasive Surgery, accessible from meshfreeherniacenterny.com - **You** means the individual accessing or using the Service, or the company, or other legal entity on behalf of which such individual is accessing or using the Service, as applicable. Collecting and Using Your Personal Data Types of Data Collected Personal Data While using Our Service, We may ask You to provide Us with certain personally identifiable information that can be used to contact or identify You. Personally identifiable information may include, but is not limited to: - Email address - First name and last name - Phone number - Usage Data Usage Data Usage Data is collected automatically when using the Service. Usage Data may include information such as Your Device’s Internet Protocol address (e.g. IP address), browser type, browser version, the pages of our Service that You visit, the time and date of Your visit, the time spent on those pages, unique device identifiers and other diagnostic data. When You access the Service by or through a mobile device, We may collect certain information automatically, including, but not limited to, the type of mobile device You use, Your mobile device unique ID, the IP address of Your mobile device, Your mobile operating system, the type of mobile Internet browser You use, unique device identifiers and other diagnostic data. We may also collect information that Your browser sends whenever You visit our Service or when You access the Service by or through a mobile device. Tracking Technologies and Cookies We use Cookies and similar tracking technologies to track the activity on Our Service and store certain information. Tracking technologies used are beacons, tags, and scripts to collect and track information and to improve and analyze Our Service. The technologies We use may include: - **Cookies or Browser Cookies.** A cookie is a small file placed on Your Device. You can instruct Your browser to refuse all Cookies or to indicate when a Cookie is being sent. However, if You do not accept Cookies, You may not be able to use some parts of our Service. Unless you have adjusted Your browser setting so that it will refuse Cookies, our Service may use Cookies. - **Flash Cookies.** Certain features of our Service may use local stored objects (or Flash Cookies) to collect and store information about Your preferences or Your activity on our Service. Flash Cookies are not managed by the same browser settings as those used for Browser Cookies. For more information on how You can delete Flash Cookies, please read “Where can I change the settings for disabling, or deleting local shared objects?” available at [https://helpx.adobe.com/flash-player/kb/disable-local-shared-objects-flash.html#main_Where_can_I_change_the_settings_for_disabling__or_deleting_local_shared_objects_](https://helpx.adobe.com/flash-player/kb/disable-local-shared-objects-flash.html#main_Where_can_I_change_the_settings_for_disabling__or_deleting_local_shared_objects_) - **Web Beacons.** Certain sections of our Service and our emails may contain small electronic files known as web beacons (also referred to as clear gifs, pixel tags, and single-pixel gifs) that permit the Company, for example, to count users who have visited those pages or opened an email and for other related website statistics (for example, recording the popularity of a certain section and verifying system and server integrity). Cookies can be “Persistent” or “Session” Cookies. Persistent Cookies remain on Your personal computer or mobile device when You go offline, while Session Cookies are deleted as soon as You close Your web browser. We use both Session and Persistent Cookies for the purposes set out below: - **Necessary / Essential Cookies**Type: Session CookiesAdministered by: UsPurpose: These Cookies are essential to provide You with services available through the Website and to enable You to use some of its features. They help to authenticate users and prevent fraudulent use of user accounts. Without these Cookies, the services that You have asked for cannot be provided, and We only use these Cookies to provide You with those services. - **Cookies Policy / Notice Acceptance Cookies**Type: Persistent CookiesAdministered by: UsPurpose: These Cookies identify if users have accepted the use of cookies on the Website. - **Functionality Cookies**Type: Persistent CookiesAdministered by: UsPurpose: These Cookies allow us to remember choices You make when You use the Website, such as remembering your login details or language preference. The purpose of these Cookies is to provide You with a more personal experience and to avoid You having to re-enter your preferences every time You use the Website. For more information about the cookies we use and your choices regarding cookies, please visit our Cookies Policy or the Cookies section of our Privacy Policy. SMS Messaging Terms & Compliance 1. Program Description: This messaging program sends appointment confirmation and reminder messages to customers who have booked an appointment with Shomaf Nakhjo, DO Advanced Minimally Invasive Surgery through our website at meshfreeherniacenterny.com, or via our scheduling forms, and have explicitly opted in to receive SMS notifications. Opt-in is collected via web forms with a dedicated checkbox for SMS consent. Messages include scheduling confirmations, appointment reminders, rescheduling updates, and customer support communications. 2. Cancellation Instructions: You can cancel the SMS service at any time. Simply text "STOP" to the same number that sent you messages. Upon sending "STOP," we will confirm your unsubscribe status via SMS. Following this confirmation, you will no longer receive SMS messages from us. To rejoin, sign up as you did initially, and we will resume sending SMS messages to you. 3. Support Information: If you experience issues with the messaging program, reply with the keyword "HELP" for more assistance, or reach out directly at (973) 383-2222 during business hours. 4. Carrier Liability: Carriers are not liable for delayed or undelivered messages. 5. Message & Data Rates: Message and data rates may apply for messages sent to you from us and to us from you. Message frequency varies based on your service usage and appointment schedule. For questions about your text plan or data plan, contact your wireless provider. 6. Supported Carriers: Our SMS program works with all major U.S. wireless carriers, including AT&T, T-Mobile, Verizon, Sprint, and most regional carriers. 7. Age Restriction: You must be 18 years or older to participate in our SMS program. 8. Privacy Policy: For privacy-related inquiries, please refer to our Privacy Policy. We comply with all applicable laws and regulations, including the Telephone Consumer Protection Act (TCPA) and CTIA guidelines, regarding the use of SMS communications. Use of Your Personal Data The Company may use Personal Data for the following purposes: - **To provide and maintain our Service**, including to monitor the usage of our Service. - **To manage Your Account:** to manage Your registration as a user of the Service. The Personal Data You provide can give You access to different functionalities of the Service that are available to You as a registered user. - **For the performance of a contract:** the development, compliance and undertaking of the purchase contract for the products, items or services You have purchased or of any other contract with Us through the Service. - **To contact You:** To contact You by email, telephone calls, SMS, or other equivalent forms of electronic communication, such as a mobile application’s push notifications regarding updates or informative communications related to the functionalities, products or contracted services, including the security updates, when necessary or reasonable for their implementation. - **To provide You** with news, special offers and general information about other goods, services and events which we offer that are similar to those that you have already purchased or enquired about unless You have opted not to receive such information. - **To manage Your requests:** To attend and manage Your requests to Us. - **For business transfers:** We may use Your information to evaluate or conduct a merger, divestiture, restructuring, reorganization, dissolution, or other sale or transfer of some or all of Our assets, whether as a going concern or as part of bankruptcy, liquidation, or similar proceeding, in which Personal Data held by Us about our Service users is among the assets transferred. - **For other purposes**: We may use Your information for other purposes, such as data analysis, identifying usage trends, determining the effectiveness of our promotional campaigns and to evaluate and improve our Service, products, services, marketing and your experience. We may share Your personal information in the following situations: - **With Service Providers:** We may share Your personal information with Service Providers to monitor and analyze the use of our Service, to contact You. - **For business transfers:** We may share or transfer Your personal information in connection with, or during negotiations of, any merger, sale of Company assets, financing, or acquisition of all or a portion of Our business to another company. - **With Affiliates:** We may share Your information with Our affiliates, in which case we will require those affiliates to honor this Privacy Policy. Affiliates include Our parent company and any other subsidiaries, joint venture partners or other companies that We control or that are under common control with Us. - **With business partners:** We may share Your information with Our business partners to offer You certain products, services or promotions. - **With other users:** when You share personal information or otherwise interact in the public areas with other users, such information may be viewed by all users and may be publicly distributed outside. - **With Your consent**: We may disclose Your personal information for any other purpose with Your consent. Retention of Your Personal Data The Company will retain Your Personal Data only for as long as is necessary for the purposes set out in this Terms of Service. We will retain and use Your Personal Data to the extent necessary to comply with our legal obligations (for example, if we are required to retain your data to comply with applicable laws), resolve disputes, and enforce our legal agreements and policies. The Company will also retain Usage Data for internal analysis purposes. Usage Data is generally retained for a shorter period of time, except when this data is used to strengthen the security or to improve the functionality of Our Service, or We are legally obligated to retain this data for longer time periods. Transfer of Your Personal Data Your information, including Personal Data, is processed at the Company’s operating offices and in any other places where the parties involved in the processing are located. It means that this information may be transferred to — and maintained on — computers located outside of Your state, province, country or other governmental jurisdiction where the data protection laws may differ than those from Your jurisdiction. Your consent to this Terms of Service followed by Your submission of such information represents Your agreement to that transfer. The Company will take all steps reasonably necessary to ensure that Your data is treated securely and in accordance with this Terms of Service and no transfer of Your Personal Data will take place to an organization or a country unless there are adequate controls in place including the security of Your data and other personal information. Disclosure of Your Personal Data Business Transactions If the Company is involved in a merger, acquisition or asset sale, Your Personal Data may be transferred. We will provide notice before Your Personal Data is transferred and becomes subject to a different Terms of Service. Law enforcement Under certain circumstances, the Company may be required to disclose Your Personal Data if required to do so by law or in response to valid requests by public authorities (e.g. a court or a government agency). Other legal requirements The Company may disclose Your Personal Data in the good faith belief that such action is necessary to: - Comply with a legal obligation - Protect and defend the rights or property of the Company - Prevent or investigate possible wrongdoing in connection with the Service - Protect the personal safety of Users of the Service or the public - Protect against legal liability Security of Your Personal Data The security of Your Personal Data is important to Us, but remember that no method of transmission over the Internet, or method of electronic storage is 100% secure. While We strive to use commercially acceptable means to protect Your Personal Data, We cannot guarantee its absolute security. Children’s Privacy Our Service does not address anyone under the age of 13. We do not knowingly collect personally identifiable information from anyone under the age of 13. If You are a parent or guardian and You are aware that Your child has provided Us with Personal Data, please contact Us. If We become aware that We have collected Personal Data from anyone under the age of 13 without verification of parental consent, We take steps to remove that information from Our servers. If We need to rely on consent as a legal basis for processing Your information and Your country requires consent from a parent, We may require Your parent’s consent before We collect and use that information. Links to Other Websites Our Service may contain links to other websites that are not operated by Us. If You click on a third party link, You will be directed to that third party’s site. We strongly advise You to review the Privacy Policy and Terms of Service of every site You visit. We have no control over and assume no responsibility for the content, privacy policies or practices of any third party sites or services. Changes to this Terms of Service We may update Our Terms of Service from time to time. We will notify You of any changes by posting the new Terms of Service on this page. We will let You know via email and/or a prominent notice on Our Service, prior to the change becoming effective and update the “Last updated” date at the top of this Terms of Service. You are advised to review this Terms of Service periodically for any changes. Changes to this Privacy Policy are effective when they are posted on this page. Contact Us If you have any questions about this Terms of Service, You can contact us by visiting this website's contact page or call us directly at (973) 383-2222 during business hours. --- ## Testimonials **Link:** [Testimonials](https://www.meshfreeherniacenterny.com/testimonials/) ([md](https://www.meshfreeherniacenterny.com/testimonials/index.html.md)) **Description:** Read what Dr. Nakhjo’s patients have to say about their treatment! ### Content #### “...Simply the Best” *Patient Testimonials* --- ## Pilonidal Testimonials **Link:** [Pilonidal Testimonials](https://www.meshfreeherniacenterny.com/testimonials/pilonidal-testimonials/) ([md](https://www.meshfreeherniacenterny.com/testimonials/pilonidal-testimonials/index.html.md)) **Description:** Read what Dr. Nakhjo’s patients have to say about their pilonidal treatment! Shomaf Nakhjo, DO Mesh-Free Hernia Center ### Content #### Delivering a Personalized Experience to Every Patient Dr. Shomaf Nakhjo consistently delivers and exceptional, patient-focused treatment experience to men and women in NYC. Read the reviews below to hear what Dr. Nakhjo’s patients have to say. --- ## Virtual Consultation **Link:** [Virtual Consultation](https://www.meshfreeherniacenterny.com/virtual-consultation/) ([md](https://www.meshfreeherniacenterny.com/virtual-consultation/index.html.md)) **Description:** Start your FREE online consultation with Dr. Nakhjo to discuss the most advanced minimally invasive surgical options in NYC! ### Content #### Advanced Hernia Solutions *Begin your FREE online consultation today!* Prospective patients may want to know more information about our practice and the procedures we perform. Get these answers using our online consultation feature - fast, easy, and private. You will speak to our Physician Associate at your convenience to see what procedure you are a candidate for. How the telehealth consultation works: #### A New York State of Healing *FREE ONLINE CONSULTATION* Use the form below to start a conversation with Madison Keppeler, PA-C, at Mesh-Free Hernia Center about the procedure you are considering. - Online Consultations are **free** - Communication is **secure** - only our PA and nurse will review your information - Communication is **fast** – Our PA takes pride in responding quickly - If you don't hear back from us within 24 hours, please call [(973) 381-9297](tel:(973) 381-9297) --- ## Incisional Hernia **Link:** [Incisional Hernia](https://www.meshfreeherniacenterny.com/incisional-hernia/) ([md](https://www.meshfreeherniacenterny.com/incisional-hernia/index.html.md)) **Type:** Service **Description:** New York City based Dr. Shomaf Nakhjo is one of the country’s leading experts on Incisional Hernia Repair for hernias that result from previous abdominal surgeries. Relieve your pain and ease your mind. ### Content #### Fix It Once and For All *Incisional Hernia Repair Surgery in NYC with Dr. Shomaf Nakhjo* Incision sites of previous abdominal surgeries can generate hernias. In fact, it’s not uncommon. As many as 15 percent of patients who have undergone any type of abdominal surgery develop a hernia along or near their incision scars. At the very least, these incisional hernias are bothersome and frustrating, and they may be painful or even pose serious medical risks. In most cases, they should be surgically repaired. Schedule a consultation with Dr. Shomaf Nakhjo at Mesh-Free Hernia Center for your **Incisional Hernia Repair **in NYC. Dr. Nakhjo is a nationally acclaimed, board-certified authority on hernia repair procedures using the least invasive surgical techniques appropriate for each patient. He warmly invites you to start a conversation about fixing your incisional hernia for good by completing our [online contact form](/contact/) or calling [(973) 381-9297](tel:(973) 381-9297). #### Improve Upon Your Surgery Results *Incisional Hernia Procedure* An incisional hernia can disrupt your life and overall sense of well-being. Learn about what causes incisional hernias and how minimally invasive surgery can deliver long-lasting relief. **What we don't do.** - **We do not place multiple sutures through the abdominal wall to secure the mesh. **This creates unnecessary trauma, which increases postoperative pain and the risk of infection. - **We do not place mesh over the hernia defect without first suturing the defect. **Failure to close the hernia defect leads to mesh buckling through the hernia site and an unacceptably high recurrence rate. We close every hernia defect with suture, then place mesh on top of the hernia defect for a "double repair" which leads to the best possible results #### The Nakhjo Difference *What Sets Us Apart for Incisional Hernia Repairs?* The overwhelming majority of our laparoscopic ventral hernia repairs only require 2 small incisions, the mere width of a fingernail. **That’s it. Nothing Else. ** This approach necessitates fewer incisions than a laparoscopic appendectomy or laparoscopic gallbladder procedure. **We do not offer robotic hernia surgery because there is no clear advantage over laparoscopic hernia repair.** Numerous reputable studies indicate that, on average, robotic hernia repairs take twice as long to complete and frequently entail more incisions compared to laparoscopic hernia repair. Furthermore, robotic surgery comes at a significantly higher cost to achieve the same outcome. Robotic hernia repair proves inefficient in terms of both cost and surgical duration for the majority of hernia procedures. Traditional laparoscopic/robotic techniques dictate 3-4 separate incisions and require the surgeon to create additional holes in the abdominal wall to secure mesh. Dr. Nakhjo does not do any of this. #### Advanced Minimally Invasive Approach *A Smarter Path to Healing* Patient with a large incisional hernia after major abdominal surgery 2 years prior. Patient was initially seen at a major academic center who stated to them that he would need an open repair with a team of surgeons and be admitted to the hospital for several days with drain placement. He was told that he could not return to work for at least 4 to 6 weeks. Patient came to us for a second opinion and wanted a minimally invasive approach. Abdominal wall reconstruction was performed laparoscopically with 2 small incisions. Surgery took approximately 1.5 hours, and patient went home the same day. Patient was back at work after one week. After a one-year follow-up, patient is doing well and fully functional with no complaints. #### Case Example - What sets us apart. #### Relief Is Within Reach *What Are the Benefits of Incisional Hernia Repair?* If both the “open” and “keyhole” techniques are equally viable in a particular case, laparoscopy has many advantages. The incisions are smaller and therefore less likely to become infected. Hospital stays and recovery times tend to be shorter. #### Your Definitive Solution *Am I a Candidate for Incisional Hernia Repair?* If you have a hernia resulting from a previous surgery, you are likely a candidate for minimally invasive laparoscopic **Incisional Hernia Repair in NYC**. Confirm your candidacy and begin your treatment process by scheduling your consultation with Dr. Nakhjo. #### Better Results With Less Downtime *Incisional Hernia Repair Recovery* **Aftercare and Maintenance:** Prevention of recurrence of an incisional hernia You will be provided with detailed, specific recovery instructions. It is vitally important that you follow them diligently to ensure a full, safe, and lasting incisional hernia repair. You don’t want to do this again. (Neither do we.) The best way to regain your stamina is to do regular aerobic exercise, such as walking or stair climbing. Avoid straining your abdominal muscles for a few months after your surgery. Don’t lift anything heavier than ten pounds for at least six weeks. During that same period, avoid all high-energy activities such as jogging, tennis, and any type of contact sports. When you wake up in a recovery room, your medical staff will monitor your temperature, pulse, blood pressure, and oxygen saturation. You may be getting oxygen through a thin tube that rests under your nose or from a mask that covers your nose and mouth. Most of our NYC **Incisional Hernia Repair** patients can return to desk jobs within a few days to a week. #### Achieving Your Ideal Outcome *Incisional Hernia Repair Results* **Incisional hernia repairs deliver ultimate relief**. For the best possible outcome, discuss your minimally invasive treatment with Dr. Shomaf Nakhjo. #### Your Premier Laparoscopic Surgery Provider *Schedule Your NYC Incisional Hernia Repair Surgery Consultation With Dr. Shomaf Nakhjo Today* Dr. Nakhjo is board-certified and fellowship-trained in advanced, minimally invasive surgical procedures. His specialized training enables him to offer alternatives to open surgery, which can improve your recovery and reduce surgical scarring. Dr. Nakhjo has performed more than 4,000 surgical procedures and is a leading provider of advanced laparoscopic surgical care in Northern New York City. Book your consultation by registering [online](/contact/) or calling [(973) 381-9297](tel:(973) 381-9297). *Incisional Hernia Repair Frequently Asked Questions* --- ## Hernia Surgery **Link:** [Hernia Surgery](https://www.meshfreeherniacenterny.com/hernia/) ([md](https://www.meshfreeherniacenterny.com/hernia/index.html.md)) **Type:** Service **Description:** Dr. Shomaf Nakhjo in NYC specializes in Hernia Surgery using minimally invasive surgery for less pain and quicker recovery. Book your consultation to discuss hernia repair today. ### Content #### Stop Waiting. Start Healing. *Minimally Invasive Hernia Surgery in NYC | Dr. Nakhjo* Did you know that while five million Americans have a hernia, only 750,000 seek treatment each year? Many avoid **hernia surgery** due to fears of complexity and a painful recovery. However, this is often not the case. NYC's Dr. Shomaf Nakhjo specializes in *advanced, minimally invasive techniques* that offer less discomfort and a faster recovery. Discover why the Shouldice method stands out as a mesh-free solution. For a deeper understanding of this approach versus traditional surgical mesh, explore Dr. Nakhjo's article "[Mesh Vs. No Mesh](https://www.advancedsurgerynj.com/patient-resources/blog/mesh-vs-no-mesh/)." Your path to recovery could be simpler than you think. #### Understanding Your Condition​ *What Is a Hernia?* A **hernia** is a protrusion of an organ or tissue through an abnormal opening or tear in the body. It is commonly seen as a lump in your abdomen or groin. Unfortunately, *surgery is the only permanent treatment for a hernia; it will not resolve* on its own. There are five main types of hernia: - **Ventral Hernia **- Occurs in the midline of the abdominal wall. Usually develops spontaneously over the years. They usually contain fat and or intestine. - **Incisional Hernia **- A protrusion that occurs in patients who have had abdominal surgery in the past. They usually contain fat and or intestine. - **Inguinal Hernia **- A bulge in the groin that is most common in men. In some cases, this hernia may go all the way down into the scrotum. They usually contain fat and or intestine. - **Umbilical Hernia** - Most often, it is something you were born with, or it can develop after childbirth. They occur right at your belly button and usually contain fat and or intestine. Most “outie” belly buttons are really an umbilical hernia! - **Femoral Hernia **- A bulge or protrusion in the upper thigh, below the groin. It is more common among women than men. It may seem odd, but there is no direct cause of hernias. Sometimes, they result from heavy lifting or from any activity that increases intra-abdominal pressure, such as straining during bowel movements. In some cases, a hernia may be present at birth, but the bulge might not be noticeable until later in life. #### Advanced Solutions *Your Hernia Repair Procedure* Dr. Nakhjo offers unmatched expertise in the *Shouldice Non-Mesh Inguinal Hernia Repair* and *Laparoscopic Hernia Repair* with Mesh techniques. With a meticulous focus on precision, he evaluates each patient's unique condition to recommend the most effective approach. During comprehensive consultations, Dr. Nakhjo clearly explains the benefits and considerations of both techniques, empowering you to make informed decisions about your care. **Performing 400-500 procedures annually**, his clinical mastery ensures a tailored solution for your hernia concerns, whether you seek a mesh-free option or advanced laparoscopic care. Dr. Nakhjo offers two basic types of Hernia repair that are available today - **Shouldice Non-Mesh Inguinal Hernia Repair** and **Laparoscopic Hernia Repair with Mesh**. Depending on your type of *hernia*, it will be performed either laparoscopically or with traditional open surgery with or without mesh. The pros and cons of each will be fully explained to the patient at the time of consultation. Surgery is the only treatment for a hernia — it will not get better on its own. #### Hernia Symptoms *Am I a Candidate for Hernia Surgery?* Experiencing a hernia often brings discomfort, pain, and a noticeable bulge that can become sore. Common symptoms include nausea, vomiting, gas, and constipation. Pain typically worsens when standing, straining, or lifting heavy objects. An enlarged hernia might obstruct passages and affect blood supply, emphasizing the importance of timely repair. If these symptoms sound familiar, you could be a candidate for **expert hernia surgery in New York**. #### Hernia Patient Feedback [Read More Patient Testimonials](/resources/hernia-testimonials/) #### Ventral Hernia Repair *What Sets Us Apart for Hernia Surgery?* At Shomaf Nakhjo, DO - Mesh-Free Hernia Center, our laparoscopic ventral hernia repairs often need just two tiny incisions, about the width of a fingernail. This approach is less invasive than a typical laparoscopic appendectomy or gallbladder procedure. With fewer incisions, patients experience minimal discomfort and a faster recovery. Dr. Nakhjo's expertise ensures precise, effective results while maintaining comfort and ease for every patient. Our practice does not perform robotic hernia surgeries because there are no clear benefits over laparoscopic repairs. Studies show robotic procedures often double the time and require additional incisions. Moreover, they entail higher costs for comparable outcomes. In terms of efficiency and value, laparoscopic hernia repair remains superior for most cases. Traditional laparoscopic or robotic hernia repairs often involve 3-4 incisions and additional punctures to secure mesh, increasing the risk of complications, postoperative pain, and risk of complications. As **NYC's premier hernia specialist**, Dr. Nakhjo's focused practice and meticulous attention to detail provide patients with definitive solutions and peace of mind, without the use of foreign bodies. #### Shouldice Non-Mesh Inguinal Hernia Repair *Meshless Hernia Surgery in New York City* The Shouldice Technique offers a refined, mesh-free approach to hernia repair. Originating from Dr. Edward Earle Shouldice, this method elegantly stitches four anatomical layers with precision. Practiced at the renowned Shouldice Clinic in Toronto since 1945, it draws patients worldwide for its safety and durability. Dr. Nakhjo in NYC embodies this tradition, ensuring superior care and results. Unlike laparoscopic methods, the Shouldice repair avoids the use of implants, reducing associated risks, a topic that is thoroughly explored during [consultations](/consultation/) to support informed decision-making. #### Minimal Downtime. Maximal Effectiveness. *Hernia Repair Recovery* Most patients leave our NYC facility the same day as their surgery, needing only minimal pain relief (Tylenol or NSAIDs usually suffice). Our **NYC hernia surgery** patients often resume daily activities within 1-2 days and return to work in just a few days. For jobs involving heavy lifting, a recovery period of 3-4 weeks may be required, depending on factors such as your age, weight, hernia size, and job type. #### Minimally Invasive Surgery Specialist *Schedule Your NYC Hernia Surgery Consultation With Dr. Nakhjo today* Hernias can lead to discomfort and severe complications like intestinal obstruction. Understanding the risks is crucial. Educate your loved ones about the importance of early evaluation. Dr. Nakhjo, NYC's premier hernia specialist, offers mesh-free Shouldice repairs with unmatched precision. With 400-500 surgeries annually, his expertise ensures a swift return to comfort and function. Don’t delay, schedule an evaluation today and embrace a pain-free life! --- ## Inguinal Hernia **Link:** [Inguinal Hernia](https://www.meshfreeherniacenterny.com/inguinal-hernia/) ([md](https://www.meshfreeherniacenterny.com/inguinal-hernia/index.html.md)) **Type:** Service **Description:** NYC surgeon Dr. Shomaf Nakhjo is your Inguinal Hernia Surgery specialist. He uses the most advanced techniques to cure multiple types of hernias, including inguinal hernias near the pelvis. ### Content #### Get Lasting Relief *Inguinal Hernia Surgery in NYC* If you’re suffering from an odd bulge near the pubic bone or groin that protrudes more when you cough, sneeze, or lift heavy objects, you may have what’s known as an inguinal hernia. If left untreated, inguinal hernias could lead to more serious complications, including painful and life-threatening conditions. Don’t wait for your hernia to become serious! Dr. Shomaf Nakhjo is an expert in both open and laparoscopic surgical techniques to repair your hernia with a very low recurrence rate. Learn more about Dr. Nakhjo’s proven methods for **Inguinal Hernia Surgery in NYC**, and then schedule a consultation to get rid of your hernia for good. Discover unparalleled expertise with Dr. Shomaf Nakhjo, NYC's premier mesh-free inguinal hernia repair specialist. Performing 400-500 surgeries annually, Dr. Nakhjo offers the Shouldice Technique, a renowned non-mesh procedure designed to deliver optimal outcomes with minimal recurrence. Unlike generalists, our private boutique practice focuses exclusively on this gold-standard approach. **Choose precision, mastery, and a personalized experience**—**because your health deserves the best.** [Read Our Comprehensive FAQ Page on the Mesh-Free Shouldice Repair](/resources/mesh-free-shouldice-repair-faq/) #### Protect Your Health and Comfort *What Is an Inguinal Hernia?* A hernia is defined as a weakening of muscles or other tissues that allows for an organ or fatty tissue to bulge out from its normal location. Inguinal hernias occur when abdominal contents push through a weak spot in your abdominal wall. This can occur on one side (unilateral) or on both sides (bilateral). In males, inguinal hernias are most common near the creases in the groin. They can be painful or painless. #### A Ticking Time Bomb *What Are the Dangers of an Inguinal Hernia?* The danger arises when intestine, intra-abdominal fat, food, or waste becomes trapped within the hernia as it protrudes through the abdominal muscle. This situation is known as an incarcerated hernia and can cause infection, obstructed bowels, and the inability to pass gas, as well as severe pain and nausea. Inguinal hernias can also lead to a condition called strangulation, where the hernia cuts off blood flow to part of the intestine. This is a serious, painful, life-threatening condition that requires immediate surgery and a prolonged hospital stay. **Inguinal hernias are not inherently life-threatening**. In some cases, they aren’t even painful and can be corrected simply by gently pressing on the bulge, but they will spontaneously come back. #### A Natural Alternative to Mesh *Your Inguinal Hernia Surgery Procedure* Dr. Nakhjo uses the Shouldice method for inguinal hernia repair. This method is considered the gold standard of hernia repair due to its low recurrence rate and use of natural tissue rather than surgical mesh to repair the defect. The rate of recurrence for the Shouldice method is less than one percent, making it by far the most effective method to cure your inguinal hernia. However, most surgeons are not trained in this method, making Dr. Nakhjo one of the top inguinal hernia surgeons in the region. Learn more about the difference between the Shouldice method and surgical mesh by reading Dr. Nakhjo's article "[Mesh Vs. No Mesh](https://www.advancedsurgerynj.com/patient-resources/blog/mesh-vs-no-mesh/)". During your surgery, you will be under general anesthesia, so you will not feel a thing. (If you wish to avoid general anesthesia, you may have the procedure performed under light sedation and local anesthesia.) Dr. Nakhjo will make a small incision near the hernia, which he will use to perform the operation. Dr. Nakhjo begins by gently relocating the fatty tissue or organ that has protruded through the abdominal muscle back to its proper position. From there, he restores the integrity of the abdominal musculature by repairing each layer individually, thereby maximizing the strength of the repair. This way, Dr. Nakhjo can confidently correct the gap that led to the hernia without using synthetic mesh or foreign objects. A typical incision for a *Shouldice hernia repair* is only 1.5-2 inches. Patients may shower the next day, and no sutures are required to be removed. The wound is injected with a long-acting anesthetic, which lasts 24-36 hours, which minimizes discomfort, allowing for minimal pain medicine post-op. #### Peace of Mind *Am I a Good Candidate for Inguinal Hernia Surgery?* Most healthy adults with inguinal hernias are good candidates for surgery. Dr. Shomaf Nakhjo offers both the laparoscopic and Shouldice methods for his **NYC inguinal hernia surgery** patients. The Shouldice method is an open, meshless hernia repair method with a very low recurrence rate, making it extremely safe and effective. Laparoscopic surgery is a minimally invasive technique that can also be extremely effective, often with slightly less downtime than open techniques. During your [consultation](/consultation/), Dr. Nakhjo will review your health history, your hernia, and your risk factors and help you determine whether this procedure is appropriate for you. #### Make the Call. Get Relief. *Schedule Your NYC Inguinal Hernia Surgery Consultation With Dr. Shomaf Nakhjo Today* While an **inguinal hernia** may not feel like much, it can lead to serious complications and injury. Other hernia repair methods have a much higher recurrence rate, which can lead to multiple surgeries. Don’t take those risks! Get your inguinal hernia surgery right the first time with help from [NYC’s hernia expert](/), Dr. Shomaf Nakhjo. *Inguinal Hernia Surgery Frequently Asked Questions* --- ## Umbilical Hernia Repair **Link:** [Umbilical Hernia Repair](https://www.meshfreeherniacenterny.com/umbilical-hernia-repair/) ([md](https://www.meshfreeherniacenterny.com/umbilical-hernia-repair/index.html.md)) **Type:** Service **Description:** Choose Mesh-Free Hernia Center for Umbilical Hernia Repair in New York City. Dr. Shomaf Nakhjo is a specialist who focuses exclusively on these surgeries with a "true cure" mindset. ### Content #### What Is an Umbilical Hernia? Most “outie” belly buttons are actually small **umbilical hernias**. These are usually present from birth and often go unnoticed for many years. Over time, normal wear and tear and weakening of the abdominal tissues can cause the hernia to slowly enlarge and become more noticeable. *When Should an Umbilical Hernia Be Repaired?* Umbilical hernias do not behave predictably. Some remain the same size for years, while others can grow quickly over a short period of time. We generally recommend repair if: - The hernia is causing discomfort or pain - You notice the hernia increasing in size - The hernia is **2 cm or larger**, which helps prevent complications such as incarceration **Repairing an umbilical hernia** early may also avoid the need for mesh. #### When Should an Umbilical Hernia Be Repaired? Umbilical hernias do not behave predictably. Some remain the same size for years, while others can grow quickly over a short period of time. We generally recommend repair if: - The hernia is causing discomfort or pain - You notice the hernia increasing in size - The hernia is **2 cm or larger**, which helps prevent complications such as incarceration A **NYC umbilical hernia repair** done early may also avoid the need for mesh. #### Size-Based Recommendations - **Less than 1 cm:** Observation is reasonable unless symptoms develop or the hernia grows - **1–2 cm:** Consultation with a surgeon is recommended - **Greater than 2 cm:** Surgical repair is recommended As a general rule, umbilical hernias **2–3 cm or smaller** can often be repaired **without mesh**. #### How Is the Umbilical Hernia Repair Performed? #### Umbilical Hernia Repair Pain Control & Recovery Post-operative pain is typically very well controlled. We use **Exparel**, a long-acting local anesthetic that provides pain relief for **48–72 hours**. When combined with Tylenol and/or NSAIDs, most patients experience minimal discomfort. - Most patients return to work within **1–3 days** - Longer recovery may be needed if heavy lifting is required *NYC Umbilical Hernia Repair, without Robotic Surgery or Mesh* We believe robotic repair is *not necessary for most umbilical hernias*. Robotic surgery: - Requires **three separate incisions** - Is performed inside the abdomen, where organs may be at risk - Typically requires **mesh** and **general anesthesia ** While some surgeons advocate mesh for all umbilical hernias, our experience differs. After performing **over 1,000 umbilical hernia repairs**, we are not aware of any patients experiencing a recurrence following **open repair without mesh**. --- ## Pilonidal Cyst **Link:** [Pilonidal Cyst](https://www.meshfreeherniacenterny.com/pilonidal-cyst/) ([md](https://www.meshfreeherniacenterny.com/pilonidal-cyst/index.html.md)) **Type:** Service **Description:** New York Surgeon Dr. Shomaf Nakhjo offers curative Pilonidal Cyst Treatment. Schedule your consultation to discuss your treatment with a renowned treatment specialist today! ### Content #### A Curative Solution *Pilonidal Cyst Treatment | Dr. Shomaf Nakhjo* **Pilonidal disease** is painful, disruptive, and often mismanaged. It can make sitting, sleeping, or even wearing clothes feel unbearable. Left untreated, it can progress to chronic infection, draining tracts, and recurrent abscesses. Dr. Shomaf Nakhjo offers a truly curative path. As a high-volume [NYC pilonidal specialist](/), he performs the Cleft Lift procedure with a 99% success rate, designed to eliminate disease and prevent it from coming back. Schedule a private consultation with Dr. Nakhjo at Mesh-Free Hernia Center and take the first definitive step toward permanent relief. #### Advanced Mesh-Free Hernia & Pilonidal Surgery, Led by a True Specialist *The only high-volume Shouldice and Cleft Lift boutique practice on the East Coast* At Shomaf Nakhjo, DO - Mesh-Free Hernia Center, every hernia and pilonidal case is handled by one surgeon whose entire practice is built around these two problems. This is not a side service or an occasional offering. It is the core focus. Dr. Nakhjo personally performs 400–500 inguinal hernia repairs every year using the mesh-free Shouldice technique, and he has completed thousands of minimally invasive procedures over his career. That level of repetition creates mastery, lowers recurrence rates, and delivers the kind of consistent, predictable outcomes that generalists simply cannot match. This is the only practice in the United States dedicated solely to the Shouldice inguinal hernia repair. No mesh. No foreign material. Just a precise, layered reconstruction using your own tissue, designed for strength, durability, and a natural feel. While other surgeons may dabble in the Shouldice method a few times a year, Dr. Nakhjo lives in this technique day in and day out. High volume is not a marketing phrase here; it is the foundation of better, long-term results and the reason patients travel from across the country for a definitive, mesh-free solution. #### Understanding the Disease *What Is Pilonidal Disease?* Pilonidal disease is a chronic infection of the skin and underlying fat in the buttock crease, most often affecting teens and young adults. It usually develops in people with a deep gluteal cleft, aka "butt crack". Moisture, debris, bacteria, and hair get "trapped" and create infections that invade the skin and hair roots. This ultimately creates pain and recurrent infections #### Common Symptoms *How Do I Know if I Have Pilonidal Cyst Disease?* Pilonidal disease can look different from person to person, but the most common symptoms include: - Bleeding and pain in the gluteal (buttock) crease - Persistent discomfort over the tailbone or midline of the buttocks - A painful bump or swelling in the buttock crease - Drainage or staining on underwear from the pilonidal opening Other physical signs that often point to pilonidal disease include: - A deep, narrow crease between the buttocks - Visible hairs entering enlarged pores or tiny pits in the skin - Recurrent bleeding or drainage in the area - A sinus tract (tunnel) that exits the skin near those enlarged pores - Darkened or thickened skin on one or both sides of the crease - A tender red lump or spreading redness near the buttock crease Most patients with a **pilonidal cyst** experience large, painful areas that are tender to the touch with openings that have clear, cloudy, or bloody discharge. Redness and tenderness with foul-smelling pus (discharge), along with possible fever, are indications of an abscess formation. While pilonidal disease is relatively common, many people don’t realize that there is an incredibly high recurrence rate if not treated properly. [Pilonidal Glossary](/resources/pilonidal-glossary/) **The Cleft Lift (Bascom Lift) is the definitive, curative pilonidal procedure, delivering a documented 99% long-term success rate.** #### Eliminate Pilonidal Disease Permanently *Cleft Lift: The Definitive Pilonidal Cyst Treatment* Antibiotics and abscess drainage are often the first steps, but they rarely solve pilonidal disease for good. Most patients ultimately need surgery. A standard pilonidal cystectomy with a midline, open wound is what many surgeons rely on, yet this approach is notorious for high recurrence rates and prolonged healing. The *Cleft Lift procedure* (**Bascom Lift**) is a different, curative strategy. The cleft lift removes only the diseased skin and minimal underlying tissue, then shifts the incision off the midline so it can heal cleanly. The cleft is re-shaped to eliminate the deep fold where hair and bacteria collect. By contrast, other flap procedures often leave disfiguring scars and fail to truly re-contour the cleft, which is why they frequently allow the problem to return. Dr. Shomaf Nakhjo is one of the very few high-volume pilonidal specialists in the United States who routinely performs the **Cleft Lift**. This is a true outpatient procedure designed to cure pilonidal disease, not just manage flare-ups. It typically takes about an hour under general anesthesia. Patients go home the same day, usually with minimal discomfort, walking and resuming many daily activities within 1–2 days and returning to full, unrestricted activity in about 2 weeks. #### Pilonidal Cyst Treatment Options *What Are My Treatment Options, and Why Is Your Focus Mainly on Performing the Cleft Lift Procedure?* Established surgical options for treating pilonidal disease include pit picking, **SiLac** (laser treatment), **EPSiT** (endoscopic excision), **Gips** (sinusectomy), simple **pilonidal cystectomy**, and open excision. Some are more invasive than the Cleft Lift procedure, others are less invasive, and it is understandable that patients may wish to consider them. In real-world practice, however, these options can carry recurrence rates as high as 60%, and recovery is often longer, more painful, and less predictable than with a properly performed Cleft Lift. Because of this, I rarely recommend these operations and reserve them only for highly selected patients with very limited disease. The core problem in pilonidal disease is not the cyst itself but the deep gluteal cleft (buttock crease) that traps hair, moisture, and bacteria. Procedures that ignore this anatomy almost always have higher failure and recurrence rates. The Cleft Lift directly flattens and reshapes this cleft, addressing the true source of the disease, which is why my Cleft Lift outcomes are consistently curative, with a 99% success rate. #### About Us *Your Destination for Pilonidal Cyst Treatment* At Shomaf Nakhjo, DO - Mesh-Free Hernia Center, every patient is treated like family. This is a true private boutique practice, built around direct access to Dr. Nakhjo himself. From first call to final follow-up, you receive concierge-level attention, clear answers, and meticulous surgical planning, delivering definitive, curative **pilonidal cyst treatment** from a high-volume Cleft Lift specialist. #### Minimal Downtime *Benefits of the Cleft Lift Procedure* - Closed incision with no packing - Rapid (1–2 day) return to normal activity - Minimal pain - Discreet cosmetic outcome - Under 1% recurrence #### Who Gets Pilonidal Disease? *Am I a Candidate for Pilonidal Cyst Treatment?* Pilonidal disease most often affects young adults, especially men, but women— including those who are pregnant — are frequently impacted as well. By far the most common risk factor is in individuals who have deep gluteal clefts (buttock crease). Other factors include: - People with coarse or thick body hair - Individuals who sit for long periods (students, truck drivers, office workers) - Athletes with repeated friction or sweating in the lower back area - People who are overweight or obese - Those with a family history of pilonidal disease - People with excessive sweating (hyperhidrosis) **Pilonidal disease is common**, with over 70,000 new U.S. cases each year, typically in individuals between ages 20 and 35. #### What Will the Treatment Area Look Like After It's Healed? *Pilonidal Cyst Treatment Results* In the images below, observe how the wound is positioned off the body's midline. The smoother "U-shape" of the gluteal cleft allows for better air exposure, which prevents moisture and debris buildup. These features are crucial for optimal wound healing and significantly reduce recurrence risk. #### Advanced Surgical Options for Superior Results *Schedule Your Pilonidal Disease Consultation With Dr. Nakhjo Today* Dr. Shomaf Nakhjo, DO, is a board-certified, fellowship-trained surgeon and a nationally recognized master of advanced minimally invasive procedures. Over 15 years in private practice, he has personally performed more than 4,000 operations, refining every step for safety, precision, and lasting results. His boutique practice is built around definitive, evidence-based techniques, including the Cleft Lift procedure for pilonidal disease, with a 99% success rate, concierge-level access, and meticulous, hands-on care from the same surgeon who evaluates, operates on, and follows you through recovery. Schedule your pilonidal disease consultation directly with Dr. Nakhjo by requesting an appointment [online](/contact/) or calling [(973) 381-9297](tel:973-381-9297). Every case is personally reviewed and treated by Dr. Nakhjo himself. *Pilonidal Cyst Frequently Asked Questions* --- ## Ventral Hernia **Link:** [Ventral Hernia](https://www.meshfreeherniacenterny.com/ventral-hernia/) ([md](https://www.meshfreeherniacenterny.com/ventral-hernia/index.html.md)) **Type:** Service **Description:** NYC Surgeon Dr. Shomaf Nakhjo is one of the top doctors for Ventral Hernia Repair. Hernias are painful and can present serious medical risks. They will not heal on their own. ### Content #### Avoid Hernia Pain and Complications *Ventral Hernia Repair in New York City With Dr. Shomaf Nakhjo* **Hernias will not heal on their own or “fix” themselves**. Left unaddressed, they will not get better and may progress to a point that presents great discomfort and even serious medical risks. Don’t take chances. #### Advanced Surgical Techniques *What Sets Our Ventrial Hernia Repair Apart?* Traditional laparoscopic/robotic techniques dictate 3-4 separate incisions and require the surgeon to make additional holes through the abdominal wall to secure mesh. Dr. Nakhjo does not do any of this. The overwhelming majority of our laparoscopic **ventral hernia repairs** only require 2 small incisions, the mere width of a fingernail. That’s it. Nothing Else. If you have an [Umbilical (belly button) Hernia](/umbilical-hernia-repair/), it may be closed with an open technique few simple sutures without having to use mesh. These techniques require fewer incisions than a laparoscopic appendectomy or a laparoscopic gallbladder procedure. We do not offer robotic hernia surgery because there is no clear advantage over laparoscopic hernia repair. Numerous reputable studies indicate that, on average, robotic hernia repairs take twice as long to complete and frequently entail more incisions compared to laparoscopic hernia repair. Furthermore, robotic surgery comes at a significantly higher cost to achieve the same outcome. Robotic hernia repair proves inefficient in terms of both cost and surgical duration for the majority of hernia patients. #### Personalized Treatment for Superior Results *Your Ventral Hernia Repair Procedure* **Preparing for Surgery** Several days before your surgery, you will be directed to stop taking all supplements or medications that may impair normal blood clotting. Your anesthesiologist will review your medical history to determine the type and amount of anesthesia that’s right for you. While ventral hernia repair is typically performed using general anesthesia, small hernias are sometimes repaired using a spinal or epidural block that leaves you awake but pain-free. Most hernia repairs are outpatient procedures, meaning you can go home the same day. In some cases, you may require hospitalization for up to several days. **Treatment Options for a Ventral Hernia ** Depending on the size or type of a hernia, Dr. Nakhjo may select one of three surgical repair techniques. In “open surgery,” he makes an incision near your hernia before pushing tissues back into place and sewing the area shut. Our laparoscopic hernia repairs are usually performed with two very small incisions through which a small camera and surgical instruments are inserted into your body to guide and perform your surgery. Dr. Nakhjo will choose a surgical strategy based on a variety of factors, including your age, medical history, hernia size, and whether infection is present. *NYC patients seeking ventral hernia repair* should know that treatment can involve a variety of procedures, based on their unique needs. Dr. Nakhjo will thoroughly assess your concerns to determine the treatment that will deliver you the best results and minimal recovery. **Diagnosis of a ventral hernia** While a physical examination of your abdomen is often sufficient to diagnose a ventral hernia, your doctor may also order tests such as an abdominal ultrasound, a CT, or an MRI scan. **What we don't do:** We do not place multiple sutures through the abdominal wall to secure the mesh. This creates unnecessary trauma, which increases postoperative pain and leads to higher infection rates. We do not place mesh over the hernia defect without first suturing the defect. Failure to close the hernia defect leads to mesh buckling through the hernia site and an unacceptably high recurrence rate. We close every hernia defect with sutures, then place mesh on top of the hernia defect for a "double repair," which leads to the best possible results. #### Advanced Options *Advantages of Laparoscopic or “Keyhole” Hernia Surgery* While *laparoscopic surgery* is not always sufficient for the repair of large hernias, this “keyhole” surgery has many advantages when it can be utilized, including: - Much smaller incisions, which reduce the risk of infection and reduce scarring - Less postoperative pain - Reduced hospital stay - Shorter recovery time Dr. Nakhjo will always opt for the least invasive, most comfortable, and most effective technique available. #### Patient Case *What Sets Us Apart for Ventrial Hernia Repair* A patient with a significant incisional hernia following major abdominal surgery two years prior initially consulted a major academic center. They advised an open repair involving multiple surgeons, hospital admission for several days, and drain placement. The patient was also informed of a 4 to 6-week recovery period before returning to work. Seeking a second opinion, the patient approached us, desiring a minimally invasive solution. Laparoscopic abdominal wall reconstruction was completed using two small incisions, taking about 1.5 hours. The patient was discharged on the same day and returned to work within a week. At a one-year follow-up, the patient reported being in good health, fully functional, and without any issues. #### Understanding Your Symptoms *Causes of Ventral Hernias* - Breaches along the incision line from previous surgery - Congenital defects - History of previous hernias - Obesity - Pregnancy - Injuries - Accidents resulting from excessive lifting or pushing of heavy objects - Violent coughing episodes - Severe vomiting - Straining while urinating or having a bowel movement - Lung diseases that make it difficult to breathe, putting strain on the abdominal wall - Diabetes #### After Your Surgery *Ventral Hernia Repair Recovery* Following their **NYC ventral hernia repair**, patients will be moved to a recovery room where our medical team will monitor their vital signs until they are stable. Dr. Nakhjo will prescribe pain management medication as appropriate. As soon as you are able, it is important that you walk several times a day to reduce the risk of blood clots. #### Your Most Enjoyable Life *Ventral Hernia Repair Results* **Ventral hernia repair** offers long-lasting symptom relief, so you can be healthy, happy, and active. Don’t wait another day to begin your journey toward resolving your symptoms once and for all. #### Start Today *Schedule Your NYC Ventral Hernia Repair Surgery Consultation With Dr. Shomaf Nakhjo Today* We’re ready when you are. Please book a conversation with Dr. Nakhjo [online](/contact/) or by calling [(973) 381-9297](tel:(973) 381-9297). Schedule your New York City ventral hernia repair consultation with Dr. Shomaf Nakhjo at Mesh-Free Hernia Center. Dr. Nakhjo is widely recognized as one of the country’s leading authorities on reducing the invasiveness of hernia repair surgery through innovative techniques and technologies. He invites you to book your personal consultation today. *Ventral Hernia Repair Frequently Asked Questions* --- ## Minimally Invasive Surgery **Link:** [Minimally Invasive Surgery](https://www.meshfreeherniacenterny.com/gallery/minimally-invasive-surgery/) ([md](https://www.meshfreeherniacenterny.com/gallery/minimally-invasive-surgery/index.html.md)) **Type:** Gallery ---