Restoring humanity to medicine through direct care.
We want to prioritize you, take our time listening, and create tailored plans that make sense for your life, not just your diagnosis code. At our place, you and your doctor make decisions, not a computer algorithm. Come visit the region’s only direct access surgical practice and experience the difference for yourself.
Come Experience The Direct Care Difference.
We are an out of network, direct access practice. This means we provide you transparent cost information up front and collect it from you, no middleman. We also provide the information you need to submit our bills to your insurance so they can reimburse you directly for covered expenses. This allows us to give you the time and attention you deserve while still allowing you to take advantage of your health plan.
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Founder’s Message
Meet Dr. Tejal Pandya
Tejal Pandya, M.D. knows what it’s like to be frustrated or let down by our healthcare system, as a doctor, patient, and family care giver. Her mission is to create a safe environment where you and the doctor-patient relationship are at the center of your experience at the doctor’s office. Patients should be seen as a whole person, not as a symptom or diagnosis. To support this mission, Dr. Pandya has created a unique practice where you don’t need to feel rushed, you get all your questions answered, and you leave confident with a care plan that makes sense for you.
Dr. Pandya is a general surgeon that is available for routine issues. She is also fellowship trained in the medical and surgical care of the esophagus and gastro-esophageal junction. Dr. Pandya is uniquely qualified to provide comprehensive care in this specialty area that includes diagnostic evaluation, medical management, endoscopy, and surgery.
Patients deserve answers and solutions to their life-ruining problems. Dr. Pandya is available to provide a personalized approach delivered with compassion.
Our Services
Problems and Testing We Address
Abdominal Pain
A common symptom with many causes, from reflux to gallstones. We identify the root issue and deliver personalized care for...
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Gallbladder Disease
Gallbladder issues can cause pain, nausea, and digestion problems. We provide diagnostics and treatment, including laparoscopic removal when needed.
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Ventral Hernia
A bulge through the abdominal wall that may require surgical repair. Our team ensures a safe and efficient recovery.
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Inguinal Hernia
Occurs when tissue pushes through a weak spot in the groin. Surgical repair relieves pain and prevents complications.
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Hiatal Hernia Repair
Minimally invasive procedure to fix a hiatal hernia, reducing reflux symptoms and restoring digestive comfort.
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EndoFLIP
An advanced diagnostic tool that measures esophageal pressure and dimensions in real-time during procedures to assess motility and plan treatment.
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Esophageal pH Testing
Tracks acid levels in the esophagus over 24 hours to diagnose acid reflux and guide effective treatment planning.
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Esophageal Manometry
A test measuring muscle function in the esophagus. Crucial for diagnosing swallowing disorders and preparing for surgical procedures.
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Hoarse Voice
A non-surgical procedure that allows direct visualization of the esophagus and stomach. Used to diagnose inflammation, ulcers, or precancerous changes.
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Antacid Medication Dependence
Long-term antacid use can mask deeper issues. We treat the root causes of reflux and reduce reliance on medications with...
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Achalasia
Achalasia affects the esophagus’s ability to move food to the stomach. We use specialized tests and minimally invasive treatments to...
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Hiatal Hernia or Paraesophageal Hernia
Hiatal and paraesophageal hernias may cause reflux, pain, and serious complications. We offer advanced surgical repair for lasting relief.
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Recurrent Pneumonia or Aspiration
Reflux-related aspiration can lead to recurring pneumonia. Our team helps prevent respiratory complications with comprehensive reflux management.
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Non-Cardiac Chest Pain
Chest pain not related to heart problems may originate from the esophagus. We evaluate and treat underlying gastrointestinal causes to...
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Esophagitis
Esophagitis is inflammation of the esophagus often caused by acid reflux, infection, or allergies. We offer accurate diagnosis and effective...
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Chronic Cough or Throat Clearing
Chronic cough or frequent throat clearing may stem from reflux-related irritation. We diagnose and manage these symptoms with targeted therapy...
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Barrett’s Esophagus
A serious complication of chronic reflux, Barrett’s Esophagus involves tissue changes that can increase cancer risk. Early detection and monitoring...
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Chronic Heartburn & Reflux
Persistent acid reflux causes burning chest pain and discomfort. We provide expert diagnosis and long-term solutions to manage chronic heartburn...
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Swallowing Disorders
Difficulty swallowing (dysphagia) may indicate esophageal disorders. Our specialists identify and treat the underlying cause to help restore normal swallowing...
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Our Approach
A Personalized Path To Timeless Beauty
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Fill out your medical history form
General Body Check
Get A New Version Of You
Expert care for Chronic Heartburn with a Personalized Approach –When You’ve Been Seeking Answers, but You’re Still Struggling to Feel Normal.
‘Heartburn’ is more than one disease or one organ, and it touches more than one aspect of your life. In fact, it can mimic or cause problems in numerous areas including lungs, heart, throat, sinuses, and others. We bring all aspects of ‘heartburn’ under one roof. Visit us to get evaluated as the unique person you are and getthe treatment that makes sense for you.
We can help you get your life back.
Contact Us
Your time for accessible and personalized surgical care has arrived.
Join the waitlist or send us your questions by filling out the form.
Dr. Pandya is a general surgeon with fellowship training in esophageal diseases.
If you need immediate attention or are having an emergency, please dial 911.
Honest Reviews From Our Clients
“Simply, thank you. You made this situation so much easier with your bright smile and patience.”
“I wanted to express my thanks. You’re a beautiful person, from your welcoming and comforting smile to helping us understand the process step by step. You are truly appreciated!”
“Hi doc. Thank you for your time. Keep saving those lives, and thanks for mine.”
“Dr. Pandya, Thank you for the opportunity to learn from you. You’ve taken the time to teach me the art of medicine and surgery. You’ve led by example and shown me what it means to serve others. I am grateful surgeons/teachers like you exist.”
”Dr. T Pandya, I wanted to say thank you for taking care of me. Your personal care made a big difference. Thanks from the bottom of my heart.”
“Dr. Tejal, I appreciate the gentle care you gave me while I was in the hospital… you sat on the bed and held my hand while I shed buckets of tears. Thank you.”
Frequently
Asked Questions
I’ve already seen multiple doctors. How will this be different?
Many of our patients come after years of frustration. We offer a highly specialized focus on reflux and swallowing disorders—taking the time to re-evaluate your history, dig deeper, and offer solutions that others may not have considered.
Do you only see patients in Fresno?
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Do you perform surgery?
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What if I’ve been told my endoscopy or tests were normal?
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