Laparoscopic Appendectomy near Richmond, VA

Care Philosophy: "One person caring about another represents life's greatest value" Jim Rohn

Biography: Ralph Layman, MD, FACS, is a board-certified and fellowship-trained surgeon with Richmond Surgical Associates and serves as the director of Trauma Surgery and Kidney Transplant at Henrico Doctors' Hospital in Richmond, Virginia. Dr. Layman earned his medical degree at The University of Chicago, Pritzker School of Medicine. From there, Dr. Layman completed his internship and residency training in General Surgery at The Medical College of Wisconsin in Milwaukee, where he served as chief resident his senior year and spent year as a research fellow in immunology. While in residency he also trained abroad, at the University of Limerick, completing a colorectal fellowship with the Royal College of Surgeons, Ireland. He then completed his abdominal organ transplant and hepatobiliary fellowship at The University of Pittsburgh's Starzl Transplant Institute. He received his Bachelor of Science degree with honors in Biology and Chemistry from Illinois State University in Normal, Illinois.Dr. Layman is board certified by the American Board of Surgery and the American Society of Transplant Surgery. Dr. Layman is a Colonel in the United States Army Reserve Medical Corps. In more than 20 years of military service as a trauma surgeon, he has completed multiple combat deployments to Afghanistan, Iraq, and Eastern Europe. Dr. Layman brings with him more than two decades of experience and expertise. He specializes in trauma care, general surgery, transplant surgery, and vascular surgery. He has a keen interest in hepatobiliary oncology and minimally invasive robotic surgery. He is a Fellow of the American College of Surgeons and an active member of the American Society of Transplant Surgeons, Society of Vascular Ultrasound, Western Trauma Association, Eastern Association of Surgical Trauma and Society of Laparoendoscopic Surgeons.Outside of work, Dr. Layman would likely be found walking or riding his bicycle around the Fan. Dr. Layman enjoys spending time with his family and friends enjoying many of his favorite local hangouts in Richmond and walking his dogs

Biography: Dr. Amy Rose, MD is a General Surgery Specialist who practices in North Chesterfield, VA. She is 57 years old and has been practicing for 35 years. Dr. Amy Rose, MD is affiliated with Johnston-Willis Hospital and Chippenham Hospital.

Biography: Dr. Christine Bouchard, MD is a General Surgery Specialist who practices in North Chesterfield, VA. She is 48 years old and has been practicing for 21 years. Dr. Christine Bouchard, MD is affiliated with Johnston-Willis Hospital and Chippenham Hospital.

Care Philosophy: Every patient for whom I care, if even for a short time, puts their faith and trust in me. It is my responsibility to be worthy and respectful of that trust.

Biography: Dr. Melissa Marinello, MD is a General Surgery Specialist who practices in North Chesterfield, VA. She is 49 years old. Dr. Melissa Marinello, MD is affiliated with Johnston-Willis Hospital and Chippenham Hospital.

Biography: This physician is accepting telehealth visits. Clifford Smith, MD, FACS, received his undergraduate degree in Molecular and Cellular Biology from the University of Arizona in Tucson, Arizona, and his medical degree from the University of Cincinnati College of Medicine in Cincinnati, Ohio. Dr. Smith completed his Surgical Internship and Surgical Residency at the National Naval Medical Center in Bethesda, Maryland, and Maricopa Medical Center in Phoenix, Arizona, respectively. After serving for several years in the United States Navy, he completed his Fellowship in Minimally-Invasive Surgery at Greenville Hospital University of South Carolina in Greenville, South Carolina.Dr. Smith brings more than 12 years of surgical experience to Richmond Surgical. He served as the Department Head of General Surgery at Naval Hospital Okinawa in Japan, was deployed to Iraq from October of 2005 to March of 2006 when he was stationed at Naval Hospital Pensacola in Florida, was the Director of Surgical Services at Naval Hospital Sigonella in Italy, was the General Surgeon at Naval Hospital Camp Lejeune in North Carolina, and finally served as a General Surgeon at Naval Hospital Portsmouth, in Virginia, during which time he was deployed to Afghanistan from February to September of 2013. He recently retired from the United States Navy after 21 years of service.Dr. Smith is board-certified in General Surgery, is a member of the Society of American Gastrointestinal Endoscopic Surgeons, the American Hernia Society, and is a Fellow of the American College of Surgeons. During his career with the United States Navy, he earned two Meritorious Service Medals, four Navy and Marine Corps Commendation Medals, and a Navy and Marine Corps Achievement Medal along with personal and unit awards.Dr. Smith is highly familiar with the diagnosis and treatment of multiple disease states and health concerns, with a strong interest in the surgical treatment of heartburn and reflux disease (GERD). He brings with him a special interest in minimally-invasive surgical procedures, and in particular a new minimally-invasive approach to the treatment of GERD, called Linx. He is driven to establish a strong rapport with his colleagues, patients, and their loved ones through clear and effective communication. He is welcoming new patients and referrals.He has relocated to Richmond with his loving family - wife Denise and their two children Clifford Jr. and Madelynn.

Biography: Dr. D Michael Rose, MD is a General Surgery Specialist who practices in North Chesterfield, VA. He is 60 years old and has been practicing for 34 years. Dr. D Michael Rose, MD is affiliated with Johnston-Willis Hospital and Chippenham Hospital.

Biography: David Bettinger, MD, is a general surgeon with Surgical Associates of Richmond. He was born in upstate New York and grew up in Richmond, Virginia. He graduated cum laude from Virginia Commonwealth University with a Bachelor of Science degree in Biology, and then continued with a Masters in Biology, receiving the Phi Sigma Research Scholarship and working as a graduate teaching assistant. During Dr. Bettinger's medical school tenure at VCU Health's Medical College of Virginia, he received the Carnation Scholarship, and was elected into Alpha Omega Alpha, Phi Kappa Phi, Alpha Sigma Chi Honorary Leadership Society, Sigma Zeta Honorary Science Society, and performed basic science research. Some of his research is represented by numerous papers in peer-reviewed journals such as the Journal of Pediatric Surgery, and the Journal of Burn Care. Dr. Bettinger has presented before the Surgical Forum of the American College of Surgeons, the Virginia Academy of Science, the American Burn Association, and the Plastic Surgery Research Council. He was President of the Virginia Surgical Society in 2008. Dr. Bettinger is also a veteran of the wars in Iraq and Afghanistan, having served with the US Army Medical Units. When he joined SAR in 1996, he brought advanced laparoscopic training and ability, and he has been a proponent of laparoscopic Nissen fundoplication for acid reflux disease and laparoscopic adrenalectomy. Dr. Bettinger and his wife, Dr. Cynthia Bettinger, have three wonderful children. When not at work, he enjoys snow skiing, woodworking, and duck hunting.

Biography: Dr. Bryan Johnson, MD is a General Surgery Specialist who practices in North Chesterfield, VA. He is 48 years old and has been practicing for 17 years. Dr. Bryan Johnson, MD is affiliated with Johnston-Willis Hospital and Chippenham Hospital.