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Millard Fillmore Suburban Hospital
First Floor
1540 Maple Road
Williamsville, NY 14221

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Surgical Services

Physicians performing a robotic surgery

Millard Fillmore Suburban Hospital offers many surgical specialties to meet the specific needs of the community. With expert surgeons and operating room staff, upgraded surgical suites and the most advanced technology including the largest robotic-assisted surgery program in the region, Suburban is sure to meet and exceed your needs for outpatient ambulatory surgery, outpatient minor surgery and inpatient surgery without leaving the suburbs.

Patients are scheduled for pre-admission testing approximately one week prior to surgery and receive a physical examination and any necessary tests like blood work, urinalysis, chest X-ray or an EKG. A complete medical history will also be taken at this time. The anesthesia department will then review test results to help determine the patient's state of health.

Below is a helpful checklist to ensure the pre-admission appointment is an effective and productive one for everyone involved.

  • Write down questions or concerns when you think of them, and bring them in for discussion with the nurse practitioner.
  • Bring your health insurance information.
  • Bring a list of current medications, including over-the-counter and herbal products.
  • Review current medications with the nurse to learn which medications you should and should not take prior to surgery.
  • If you are under age 18, a parent or legal guarding must accompany you.
  • Be prepared to spend about 90 minutes for your pre-admission visit.
  • Surgery times are subject to change. Please provide an alternate telephone number where you can be reached should your scheduled surgery time change.

A Health Care Proxy or Living Will is a statement that outlines the medical treatment you prefer - and the name of the person you trust to make health care decisions for you - if you can no longer speak for yourself. If you have one, please bring a copy with you. If you do not have one, you will receive a health proxy form during pre-admission testing or complete one prior to your appointment.

Food and Drink

Eat a normal evening meal the day before your surgery, unless directed otherwise, but DO NOT eat or drink anything after midnight – including gum or mints.


DO NOT smoke the evening prior to or the morning of your surgery. Smoking causes bronchial irritation and may increase the likelihood of breathing problems during and after anesthesia.


DO NOT drink alcohol for at least two days prior to surgery.


  • Routine heart, breathing or blood pressure medications should be taken as prescribed with a small sip of water on the day of your surgery. Inform your nurse about the medications you have taken. Medications such as insulin and inhalers should be brought with you.
  • Begin avoiding the use of aspirin or Motrin/ibuprofen products at least 10 days prior to surgery. If you take aspirin or Coumadin daily, you must talk to your physician before discontinuing the medication.
  • Notify your physician if you are taking diet suppressant medication and follow the directions you are given.


Notify your surgeon immediately if you suspect you might be pregnant. Anesthesia and medications may be harmful to a developing fetus.

Changes in Your Health

Report any changes in your health to your surgeon, even minor changes such as a persistent cough, cold or fever.

It is normal to feel anxious before surgery. Keep in mind that our surgical teams are experts who have performed surgical procedures many times. Feel free to ask any questions, and take comfort in knowing that your safe, successful operation is our highest priority. We care about your physical, mental and emotional well-being.

Personal Hygiene, Clothing & Valuables

  • Bathe or shower the morning of surgery.
  • Remove all make-up, nail polish, contact lenses and jewelry.
  • DO NOT wear lotions hair sprays, hair gels, or perfume. Remove all body piercings.
  • Wear loose-fitting, casual clothing and comfortable shoes.
  • Leave valuables at home for safekeeping.
  • A bag will be provided for personal items such as clothing, dentures or glasses.

  • Plan to arrive as instructed by the nurse the previous afternoon. Arrival times are scheduled generally 90 minutes prior to surgery.
  • Bring your insurance card with you.

The Ambulatory Surgery department performs surgical procedures that require anesthesia or respiratory assistance but do not require an overnight stay. Types of surgical procedures performed in

  • Orthopedic
  • Cosmetic
  • General Surgery
  • Gynecological
  • Urological
  • Vascular

Knowing that any surgical procedure can cause anxiety, the operating room staff does everything it can to make the process as easy and comfortable as possible. The surgical team also provides comprehensive, easy to understand education on the day of surgery. After discharge if requested, patients are called again to check on their progress and answer any questions they may have regarding their surgery.

Surgical Services at Millard Fillmore Suburban Hospital

The department also coordinates the admission of all surgical patients (ambulatory, minor surgery, and overnight surgery) and can be used as a resource for common questions prior to a procedure.

Hours of Operation
Monday - Friday, 6:00 a.m. to 9:00 p.m.
Saturday, 6:00 a.m. to 5:00 p.m.
(716) 568-6620

Minor Surgery

The Minor Surgery Department performs surgical procedures that do not require general anesthesia or respiratory assistance and do not require an overnight stay. Procedures preformed include:

  • Orthopedic
  • Cosmetic
  • Gynecological
  • General Surgery

Hours of Operation
Monday - Friday,7:00 a.m. to 4:00 p.m.

Millard Fillmore Suburban Hospital has 13 state-of-the-art surgical suites to meet the demands of its robust surgical program offering procedures in the following specialties:

Many of the surgical staff are nationally certified in their specialty.

Hours of Operation
24 hours a day, as needed

Things to Know


The surgical waiting rooms offer loved ones a calm, comfortable environment in which to wait. Volunteers are in the waiting rooms and serve as liaisons between the medical team and family.

Pain Control

Pain may increase as the anesthesia wears off. All Kaleida Hospitals are committed to managing pain. Please communicate your pain level with your nurse, and don’t hesitate to ask for pain medication to avoid discomfort that may delay your recovery.

Before You Can be Discharged

You must meet certain criteria before you can go home:

  • Your blood pressure and pulse are stable.
  • You are able to drink fluids.
  • You are able to urinate independently.
  • You are NOT experiencing any nausea or vomiting.
  • Your incision is not draining or swollen.
  • You are reasonably comfortable and do not have excessive pain.
  • You are able to move around without too much assistance.

Be sure to follow the post-operative (after surgery) instructions you are provided.Surgery can be very stressful onthe body, so rest is extremely important to recovery.

Below are some tips and helpful information:

  • Eat lightly for the first 24 hours after the procedure.
  • Feeling tired, dizzy or nauseous for a day or so following surgery is normal.
  • You may experience some discomfort at the procedure site.

  • You have a fever over 101° F.
  • Your incision becomes more red, swollen or painful.
  • Your incision bleeds a lot or opens.
  • You feel too sleepy, dizzy or groggy. (Your medication may be too strong.)
  • You still have pain one hour after taking pain medication.
  • You have side effects from your medication such as nausea, vomiting, redness, rash or itching.

For patients undergoing outpatient surgery, driving themselves home is not permitted after surgery if any type of sedation is administered. Please make sure that someone will drive you home after surgery.

It is also recommended that someone remain with you at your home overnight because the effects of anesthesia may last up to 24 hours.

The Center for Minimally Invasive and Robotic Surgery

MFS Robotic Surgical Team Photo 2Millard Fillmore Suburban offers patients the latest in minimally invasive and robotic-assisted surgical technology with an extensive team of surgeons, nurses and technicians. Our physicians undergo extensive training in order to meet Kaleida Health's strict credentialing requirements before being able to perform surgery using laparoscopic and robotic techniques. The hospital's highly trained and experienced surgical teams perform over 20,000 procedures annually with over 2,000 of them using robotic-assisted technology. Millard Suburban is home to the largest and busiest robotic-assisted program in the region offering more specialties than any other facility including general surgery, gynecology, gynecology oncology, orthopedics, and urology.

Robotic-assisted surgery is a form of minimally invasive surgery, or laparoscopic surgery. Minimally invasive surgery techniques allow a surgeon to make a few tiny incisions that provide access to most areas of the body. Utilizing tools that contain a video camera and thin instruments, the surgeon performs the procedure through the tiny incisions.robotic-assisted surgery, simply allows the surgeon to use an advanced set of tools to perform the minimally invasive procedure. These tools allow a surgeon to perform techniques that are beyond the capabilities of the human hand.

Robotic-assisted surgery is offered for benign and cancerous conditions in Gynecology, Urology, Colorectal and General Surgery at The Center for Minimally Invasive and Robotic Surgery at Millard Fillmore Suburban Hospital.

Patient benefits include:

  • shorter hospital stays (most procedures are done as ambulatory surgery and you will be discharged later that day)
  • reduced pain
  • minimal scarring
  • less blood loss
  • faster return to everyday life

Robotic surgery provides a surgeon:

  • greater precision
  • more flexibility and control
  • a magnified, 3-D view of the area requiring surgery including the intricate blood vessels and nerves within the operative field

What to Expect When Having Surgery

Robotic-assisted surgery has enhanced the tools available to surgeons and in turn significantly improved recovery for patients requiring surgery. Hear first-hand from patients and surgeons at Millard Fillmore Suburban Hospital how robotic-assisted surgery has affected them.

Xi Trio of System Components

Millard Suburban has four of the industry's most advanced systems, the da Vinci® Xi. The systems were optimized from the previous Si model to treat complex cases involving parts of the body that are difficult to access within the pelvis and torso often found in gynecology, urology, general surgery, cardiac and thoracic surgeries.

The fleet of systems provides surgeons with the most advanced tools with more maneuverability to perform complex surgeries while utilizing minimally invasive techniques, and allows MFSH the ability to accommodate the increased number of patients choosing to undergo robotic-assisted surgery.

General Surgery

When medication and non-invasive procedures are unable to relieve symptoms, surgery remains the accepted and most effective treatment for a range of abdominal and gastrointestinal conditions. For complex procedures, robot-assisted surgery may be the most effective, least invasive treatment option. Through tiny, 1-2 cm incisions, surgeons using the robot can operate with greater precision, minimize pain and reduce the likelihood of complications after surgery enabling a faster recovery.

Conditions treated robotically include:
  • Colon & rectal cancer-MFSH provides a new multidisciplinary program called Enhanced Recovery After Surgery (ERAS) for complex colorectal surgeries
  • Appendicitis
  • Hernia repair
  • Gallbladder disease
Enhanced Recovery After Surgery (ERAS)

Enhanced Recovery After Surgery (ERAS) is a surgical protocol developed by a group of surgeons to improve outcomes of patients undergoing colorectal surgery. The program is based on evidence from years of research into how patients can recover quickly from surgery and resume their usual activities. ERAS provides patients a multidisciplinary team approach before, during and after surgery to deliver patients the best outcome.

Principles of ERAS:
Information and Counseling
Patients receive information and counseling about their surgery. A class is provided to ensure patients are prepared with specific instructions to follow and what to expect. It is important to be informed about surgery and feel prepared.
Pain Control
Your team of doctors and nurses will have a plan to keep pain and discomfort at a tolerable level after surgery.
Mobility after surgery
Mobility will start soon after surgery. Getting out of bed and walking after surgery will help your recovery.
Nutrition is key in healing. As part of your recovery, your medical team will encourage you to eat and drink soon after surgery.

Colorectal surgeons at Millard Fillmore Suburban Hospital have adopted this protocol for those requiring colorectal surgery and have seen excellent outcomes resulting in faster recovery, increased mobility after surgery, shorter hospital stays and decreased use of pain medications.


When medication and non-invasive procedures are unable to relieve symptoms, surgery remains the accepted and most effective treatment for a range of gynecologic conditions. These include, but are not limited to, cervical and uterine cancer, uterine fibroids, endometriosis, uterine prolapse and menorrhagia or excessive bleeding.

Less invasive options for surgery are available. A woman's age, health history, surgical history and diagnosis (benign or cancerous), all factor into the recommended course of action. For complex hysterectomies and other gynecologic procedures, robot-assisted surgery may be the most effective, least invasive treatment option. Through tiny, 1-2 cm incisions, surgeons using the robot can operate with greater precision, minimize pain and reduce the likelihood of complications after surgery enabling a faster recovery.

Conditions treated robotically include:
  • cervical and uterine cancers
  • uterine fibroids
  • uterine prolapse
  • excessive bleeding
  • endometriosis
  • ovarian cysts
  • Tubaligation

Urologic Surgery

When medication and other non-surgical treatments are either unavailable or cannot relieve symptoms, surgery is the accepted treatment for a broad range of conditions that affect the  reproductive organs and the organs of the urinary tract such as the prostate, bladder, ureters and kidneys.

Fortunately, less invasive surgical options are available to many patients facing urologic surgery. The most common of these is laparoscopy, which uses small incisions. While laparoscopy can be very effective for many routine procedures, limitations of this technology prevent its use for more complex urologic surgeries.

Robotic surgery is being used by an increasing number of surgeons worldwide for urologic procedures. This minimally invasive approach, utilizing the latest in surgical and robotics technologies, is ideal for delicate urologic surgery.

Benefits of robotics in urology
  • spare surrounding nerves
  • speeds recovery
  • allows minimally invasive approach for complex conditions

Additional Resources

The following tools are available to those undergoing surgery at Millard Fillmore Suburban Hospital.

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