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Dr. Alian G. Garay, MD

(Dr. Alian Garay, MD)

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Specializes in: Bariatric Surgery and General Surgery

University of Texas Medical School at Houston (2005)

Professional interests include: inguinal hernia repair, abdominal surgery, appendicitis, and more.

855 Rockmead Drive
Kingwood, TX 77339

(281) 825-5100

Dr. Alian G. Garay, MD is a bariatric surgeon in Kingwood, TX specializing in bariatric surgery and general surgery. He graduated from University of Texas Medical School at Houston in 2005 and has 21 years of experience. Dr. Alian G. Garay, MD is affiliated with HCA Houston Healthcare and HCA Houston Healthcare Kingwood.

Office Locations

855 Rockmead Drive
Kingwood, TX 77339

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Some issues Dr. Alian G. Garay, MD can help you with:

Breast Biopsy

Breast biopsy is a procedure where a small sample of tissue is collected from the breast for testing. A physician may prescribe a breast biopsy for a variety of reasons, but they are most frequently prescribed for a lump found in the breast. Biopsy samples extracted are examined by pathologists in a laboratory setting and are tested to determine if they are cancerous or benign, or indicative of some other condition. Depending on the lab results, physicians may prescribe additional treatment. Other circumstances which may prompt a breast biopsy include:

Mammograms that detect other unusual features in the chest, such as a cyst or calcium deposit
Breast scans or ultrasounds that display abnormalities
Nipple changes, such as scaling, crusting, or bloody discharge

Breast biopsies are collected through several different procedures and the specific type of biopsy that a patient receives depends on the size, location, and features of a breast lump or irregularity. The three main methods of collecting a breast biopsy include:

Fine needle aspiration (FNA biopsy), where a thin needle is directed into a breast lump or abnormality, extracting a small sample of tissue or liquid
Core needle biopsy (CNB biopsy), where a hollow needle is directed into a breast lump or abnormality, extracting cylinders of tissue called "cores"
Open (surgical) biopsy, where a breast lump is removed through an incision in the breast

Fine needle aspiration (FNA) and core needle biopsy (CNB) are sometimes image-guided, where a mammogram, ultrasound, or MRI helps direct the physician performing the needle extraction.

Fine needle aspiration, the most common biopsy method, generally requires few patient preparations. It is recommended patients avoid using lotion, deodorant, and perfume prior to their biopsy procedure. FNA biopsy is performed with local anesthesia (topical numbing cream) and typically has a quick recovery, but patients may experience soreness for a few days. Core needle biopsy extracts slightly more tissue than an FNA biopsy.

Open (surgical) biopsy is more invasive and requires general anesthesia, where patients are put to sleep during the procedure. Patients must fast prior to the surgery. After the biopsy is performed, patients are monitored in a recovery room for a time before being discharged, when they will need someone else to provide transportation.

Although some may consider breast biopsy to be a simple procedure, it can catch critical issues - particularly breast cancer - that impact wellness. If a breast biopsy reveals an underlying condition like life-threatening cancer, patients can receive the diagnosis and medical treatment that is necessary for their long-term health.

Gallbladder Removal Surgery (Cholecystectomy)

The gallbladder is a small, pear-shaped organ on the right side of the upper abdomen, underneath the liver. Its purpose is to store bile, which is used to digest fat. Occasionally, the gallbladder can develop mineral stones, called gallstones. If they are large enough, gallstones can block the ducts in the gallbladder and cause swelling and infection. Gallstones can be treated with lifestyle changes and medication, but sometimes this is not enough. In these cases, it is best to remove the gallbladder before it can cause more serious problems. The surgical removal of the gallbladder is called a cholecystectomy.

Today, most gallbladder surgeries are done laparoscopically. Four tiny incisions are made in the abdomen, and small tools are inserted through these tiny incisions to perform the surgery. Because the incisions are much smaller, recovery time is much faster with this type of surgery. Patients are usually discharged from the hospital the same day. Sometimes, open surgery is used to remove a gallbladder. In this type of surgery, a cut about six inches long is made in the upper right abdomen. After the gallbladder is removed, it is sutured or stapled closed. With open surgery, patients usually stay in the hospital for two to three days to recover before they are discharged.

Gallbladder removal, like any surgery, carries some risks, such as bleeding, infection, or the development of blood clots. Doctors will tell patients how to minimize their risk for complications. After surgery, patients are advised to avoid strenuous activity for several days. They should not soak in a bath until their sutures or staples have been removed. Patients should wash hands before touching the area around the incision. It will take a couple of days until patients feel like themselves again and a few weeks until their scar has healed and faded.

Thyroid Problems

Thyroid problems are a group of conditions that alter hormone regulation and metabolism. The thyroid is a small, butterfly-shaped gland located in the lower neck, just below the Adam's apple (laryngeal prominence) and larynx (voice box). Despite its small size, the thyroid has an outsized effect on the body by regulating hormones that control metabolism. Metabolism is the body's process of converting consumed food into fuel to power the entire body. Heart rate, weight, cholesterol, body temperature, and even physical growth and development are all affected by the metabolism.

When the thyroid malfunctions, the body is unable to properly process and allocate energy. Thyroid problems, such as hyperthyroidism (overactive thyroid) and hypothyroidism (underactive thyroid), cause irregular metabolism. In some cases, the body produces antibodies that attack the thyroid cells for unknown reasons. The damaged thyroid responds by releasing either too little or too much T3 and T4 thyroid hormones. Thyroid malfunctions may also arise from genetic causes or iodine deficiency. Thyroid problems may include:

Hashimoto's thyroiditis, an autoimmune disease that causes hypothyroidism
Graves' disease, an autoimmune disease that causes hyperthyroidism
Goiter
Thyroid nodule
Thyroid cancer

Hashimoto's is the leading cause of hypothyroidism, which is when the thyroid does not produce enough hormones to stimulate adequate metabolism. The condition is diagnosed by blood tests that measure TSH (thyroid stimulating hormone) and detect Hashimoto's antibodies. Symptoms of hypothyroidism include sluggish metabolism, inflammation, fatigue, weight gain, brittle hair, dry skin, and sensitivity to cold. To supplement impaired thyroid function, patients with Hashimoto's are typically prescribed synthetic thyroid hormone pills. Such patients may need to consume synthetic thyroids for the rest of their lives. Other treatments may include dietary changes, such as the avoidance of certain foods and medication to reduce inflammation. Frequent blood tests can inform patients if their TSH levels are within a normal range.

Grave's disease is most frequently the cause of hyperthyroidism, which is when the thyroid produces too many hormones, overstimulating one's metabolism. The condition is also diagnosed by blood tests that measure TSH and detect Grave's antibodies. Elevated heart rate, high blood pressure, sweating, bulging eyes, and weight loss are common symptoms of hyperthyroidism. Treatments for hyperthyroidism include oral radioactive iodine, which slowly shrinks the thyroid, slowing the production of excess thyroid hormone. Other anti-thyroid medications such as methimazole (Tapazole) also reduce the production of thyroid hormones. Blood pressure medications known as beta blockers can ease the increased heart rate caused by hyperthyroidism. If treatments are unsuccessful, patients may be prescribed a thyroidectomy, or surgery to remove part or all of the thyroid. Some patients with hyperthyroidism may require ophthalmological (eye medicine) treatments such as eye drops, prednisone, and surgery to reduce eye swelling and bulging.

Untreated thyroid disorders frequently lead to goiters or thyroid nodules. A thyroid goiter is a large lump that can be felt near the base of the neck and is made of swollen thyroid tissue or nodules (excess cell growth). Nodules and goiters are diagnosed by CT scan or ultrasound. Obstructive goiters can cause pain, coughing, and abnormal breathing. The most common cause of goiters is hyperthyroidism (overactive thyroid). However, Hashimoto's is also known to cause goiters or nodules. Goiters develop from continued damage from antibodies to the thyroid over time. At times, a goiter can result from a cancerous thyroid tumor. Most goiters and nodules are themselves benign.

The exact causes of thyroid cancer are unknown. People who develop thyroid cancer may or may not have another thyroid problem such as Hashimoto's or Grave's disease. Symptoms of thyroid cancer include a nodule that can be felt on the neck, hoarseness, difficulty swallowing, swelling in the neck, and neck and throat pain. CT and MRI scans are used to diagnose thyroid cancer. There are four types of thyroid cancer which vary in intensity. Thyroidectomy (thyroid removal surgery) is usually prescribed to treat thyroid cancer.

Thyroid problems are often long-term conditions that require some form of treatment. With regular monitoring and medication, many people with thyroid problems are able to lead active and fulfilling lives.

In The News

“Dr. Alian Garay is a board certified bariatric surgeon and a Fellow of the American College of Surgery.”—"A new you in 2017", Associated Press News, January 2017

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Alian G. Garay, MD treated as a bariatric surgeon in Kingwood, TX during 2012 were hospital care and inpatient care.

Volume of procedures performed by Dr. Alian G. Garay, MD for Medicare patients.

doctor visit	19
hospital care	90
inpatient care	90

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Alian G. Garay, MD treated as a bariatric surgeon in Kingwood, TX during 2013 were hospital care and inpatient care.

Volume of procedures performed by Dr. Alian G. Garay, MD for Medicare patients.

doctor visit	57
hospital care	94
inpatient care	94

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Alian G. Garay, MD.

**Gender**
Male	61
Female	77

**Ethnicity**
Non-Hispanic White	126
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	48
From 75 to 84	29
85 and over	17
Less than 65	44

Conditions of Medicare patients treated by Dr. Alian G. Garay, MD in 2013

Hypertension	72
High Cholesterol	43
Stroke	0
Ischemic Heart Disease	42
Depression	44
Chronic Kidney Disease	36
Asthma	17
Osteoperosis	0
Atrial Fibrilation	14
Heart Failure	25
Chronic Obstructive Pulmonary Disease	22
Diabetes	37
Dementia	9
Cancer	9

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Alian G. Garay, MD treated as a bariatric surgeon in Kingwood, TX during 2014 were hospital care and inpatient care.

Volume of procedures performed by Dr. Alian G. Garay, MD for Medicare patients.

doctor visit	59
hospital care	12
inpatient care	12

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Alian G. Garay, MD.

**Gender**
Male	44
Female	55

**Ethnicity**
Non-Hispanic White	83
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	38
From 75 to 84	0
85 and over	0
Less than 65	33

Conditions of Medicare patients treated by Dr. Alian G. Garay, MD in 2014

Hypertension	64
High Cholesterol	52
Stroke	0
Ischemic Heart Disease	32
Depression	42
Chronic Kidney Disease	32
Asthma	15
Osteoperosis	12
Atrial Fibrilation	0
Heart Failure	21
Chronic Obstructive Pulmonary Disease	18
Diabetes	39
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Alian G. Garay, MD treated as a bariatric surgeon in Kingwood, TX during 2015 were hospital care and inpatient care.

Volume of procedures performed by Dr. Alian G. Garay, MD for Medicare patients.

doctor visit	55
hospital care	61
inpatient care	61

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Alian G. Garay, MD.

**Gender**
Male	100
Female	128

**Ethnicity**
Non-Hispanic White	200
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	98
From 75 to 84	0
85 and over	0
Less than 65	66

Conditions of Medicare patients treated by Dr. Alian G. Garay, MD in 2015

Hypertension	60
High Cholesterol	42
Stroke	0
Ischemic Heart Disease	34
Depression	50
Chronic Kidney Disease	36
Asthma	24
Osteoperosis	15
Atrial Fibrilation	13
Heart Failure	30
Chronic Obstructive Pulmonary Disease	17
Diabetes	34
Dementia	11
Cancer	0

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Alian G. Garay, MD treated as a bariatric surgeon in Kingwood, TX during 2016 were hospital care and inpatient care.

Volume of procedures performed by Dr. Alian G. Garay, MD for Medicare patients.

doctor visit	67
hospital care	30
inpatient care	30

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Alian G. Garay, MD.

**Gender**
Male	51
Female	63

**Ethnicity**
Non-Hispanic White	98
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	40
From 75 to 84	0
85 and over	0
Less than 65	46

Conditions of Medicare patients treated by Dr. Alian G. Garay, MD in 2016

Hypertension	66
High Cholesterol	44
Stroke	0
Ischemic Heart Disease	28
Depression	53
Chronic Kidney Disease	39
Asthma	25
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	23
Chronic Obstructive Pulmonary Disease	16
Diabetes	39
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Alian G. Garay, MD treated as a bariatric surgeon in Kingwood, TX during 2017 were hospital care and inpatient care.

Volume of procedures performed by Dr. Alian G. Garay, MD for Medicare patients.

doctor visit	14
hospital care	45
inpatient care	45

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Alian G. Garay, MD.

**Gender**
Male	35
Female	53

**Age**
From 65 to 74	39
From 75 to 84	0
85 and over	0
Less than 65	27

Conditions of Medicare patients treated by Dr. Alian G. Garay, MD in 2017

Hypertension	64
High Cholesterol	49
Stroke	14
Ischemic Heart Disease	34
Depression	53
Chronic Kidney Disease	41
Asthma	17
Osteoperosis	0
Atrial Fibrilation	14
Heart Failure	20
Chronic Obstructive Pulmonary Disease	22
Diabetes	33
Dementia	13
Cancer	0

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Alian G. Garay, MD treated as a bariatric surgeon in Kingwood, TX during 2018 were hospital care and inpatient care.

Volume of procedures performed by Dr. Alian G. Garay, MD for Medicare patients.

hospital care	91
inpatient care	91

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Alian G. Garay, MD.

**Gender**
Male	34
Female	45

**Ethnicity**
Non-Hispanic White	55
Black	12
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	33
From 75 to 84	14
85 and over	12
Less than 65	20

Conditions of Medicare patients treated by Dr. Alian G. Garay, MD in 2018

Hypertension	75
High Cholesterol	72
Stroke	18
Ischemic Heart Disease	59
Depression	51
Chronic Kidney Disease	63
Asthma	0
Osteoperosis	0
Atrial Fibrilation	23
Heart Failure	53
Chronic Obstructive Pulmonary Disease	42
Diabetes	58
Dementia	29
Cancer	15

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Alian G. Garay, MD treated as a bariatric surgeon in Kingwood, TX during 2019 were hospital care, inpatient care, anastomosis and minimally invasive procedures.

Volume of procedures performed by Dr. Alian G. Garay, MD for Medicare patients.

anastomosis	14
catheterization	14
doctor visit	13
gastrointestinal procedures	14
hospital care	158
inpatient care	158
minimally invasive procedures	14
tracheal (windpipe) procedures	12

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Alian G. Garay, MD.

**Gender**
Male	58
Female	65

**Ethnicity**
Non-Hispanic White	90
Black	17
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	40
From 75 to 84	34
85 and over	13
Less than 65	36

Conditions of Medicare patients treated by Dr. Alian G. Garay, MD in 2019

Hypertension	75
High Cholesterol	70
Stroke	26
Ischemic Heart Disease	50
Depression	38
Chronic Kidney Disease	55
Asthma	13
Osteoperosis	0
Atrial Fibrilation	17
Heart Failure	46
Chronic Obstructive Pulmonary Disease	28
Diabetes	48
Dementia	33
Cancer	10

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Alian G. Garay, MD treated as a bariatric surgeon in Kingwood, TX during 2020 were hospital care, inpatient care, anastomosis and minimally invasive procedures.

Volume of procedures performed by Dr. Alian G. Garay, MD for Medicare patients.

anastomosis	13
catheterization	13
doctor visit	18
gastrointestinal procedures	13
hospital care	167
inpatient care	167
minimally invasive procedures	13

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Alian G. Garay, MD.

**Gender**
Male	55
Female	63

**Ethnicity**
Non-Hispanic White	78
Black	21
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	47
From 75 to 84	0
85 and over	0
Less than 65	33

Conditions of Medicare patients treated by Dr. Alian G. Garay, MD in 2020

Hypertension	75
High Cholesterol	75
Stroke	24
Ischemic Heart Disease	58
Depression	37
Chronic Kidney Disease	59
Asthma	13
Osteoperosis	0
Atrial Fibrilation	21
Heart Failure	49
Chronic Obstructive Pulmonary Disease	33
Diabetes	49
Dementia	31
Cancer	10

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Alian G. Garay, MD treated as a bariatric surgeon in Kingwood, TX during 2021 were hospital care, inpatient care, anastomosis and minimally invasive procedures.

Volume of procedures performed by Dr. Alian G. Garay, MD for Medicare patients.

anastomosis	21
catheterization	21
doctor visit	26
gastrointestinal procedures	21
hospital care	146
inpatient care	146
minimally invasive procedures	21
tracheal (windpipe) procedures	13

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Alian G. Garay, MD.

**Gender**
Male	47
Female	62

**Ethnicity**
Non-Hispanic White	81
Black	15
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	54
From 75 to 84	23
85 and over	12
Less than 65	20

Conditions of Medicare patients treated by Dr. Alian G. Garay, MD in 2021

Hypertension	75
High Cholesterol	72
Stroke	22
Ischemic Heart Disease	51
Depression	31
Chronic Kidney Disease	57
Asthma	12
Osteoperosis	0
Atrial Fibrilation	23
Heart Failure	44
Chronic Obstructive Pulmonary Disease	26
Diabetes	54
Dementia	19
Cancer	13

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Alian G. Garay, MD treated as a bariatric surgeon in Kingwood, TX during 2022 were hospital care and inpatient care.

Volume of procedures performed by Dr. Alian G. Garay, MD for Medicare patients.

doctor visit	48
hospital care	99
inpatient care	99

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Alian G. Garay, MD.

**Gender**
Male	43
Female	60

**Ethnicity**
Non-Hispanic White	73
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	46
From 75 to 84	25
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Alian G. Garay, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	28
Ischemic Heart Disease	42
Depression	34
Chronic Kidney Disease	31
Asthma	12
Osteoperosis	0
Atrial Fibrilation	34
Heart Failure	33
Chronic Obstructive Pulmonary Disease	27
Diabetes	48
Dementia	17
Cancer	18

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Alian G. Garay, MD for Medicare patients.

The highest averages for the top procedures that Dr. Alian G. Garay, MD treated as a bariatric surgeon in Kingwood, TX were hospital care, inpatient care, anastomosis and minimally invasive procedures.

anastomosis	16
catheterization	16
doctor visit	37
gastrointestinal procedures	16
hospital care	90
inpatient care	90
minimally invasive procedures	16
tracheal (windpipe) procedures	12

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Alian G. Garay, MD.

**Gender**
Male	48
Female	61

**Ethnicity**
Black / African American	5
Asian / Pacific Islander	0
Non-Hispanic White	80
Hispanic	0
Native American / Alaskan Native	0
Other	0

**Age**
75 to 84	11
85 and over	4
Less than 65	29
65 to 74	43

Average of Total of Conditions of Medicare patients treated by Dr. Alian G. Garay, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Alian G. Garay, MD treated were hypertension, high cholesterol, chronic kidney disease and depression.

Hypertension	63
High Cholesterol	54
Stroke	12
Ischemic Heart Disease	39
Depression	39
Chronic Kidney Disease	40
Asthma	13
Osteoporosis	2
Heart Failure	31
Chronic Obstructive Pulmonary Disease	22
Diabetes	39
Atrial Fibrillation	14
Cancer	6
Dementia	14

Education & Training

Dr. Alian G. Garay, MD graduated from University of Texas Medical School at Houston in 2005. He completed residency at University of Colorado Denver Affiliated Hospitals. He has a state license in Oregon.

Medical School: University of Texas Medical School at Houston (2005)

Residency: University of Colorado Denver Affiliated Hospitals (2010)

Licensed In: Oregon

Affiliations & Hospitals

Dr. Alian G. Garay, MD is associated with these hospitals and organizations:

HCA Houston Healthcare

HCA Houston Healthcare Kingwood

Ratings & Reviews

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General Payments

These charts describe general payments received by Dr. Alian G. Garay, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Intuitive Surgical, Inc.	$10,198 Da Vinci Surgical System $10,198
Covidien Sales LLC	$786 Access $497	Vessel Sealing $277	Endo Stapling $13
LIFECELL CORPORATION	$733 STRATTICE $733
Teleflex LLC	$333 DEKNATEL $178	Weck $155
Ethicon US, LLC	$295 Echelon Flex $103	ECHELON FLEX Stapler $69	Endoscopy: Endocutters $50	LINX Reflux Management System $27	Echelon Endopath Staple Line Reinforcement $20	Other $27
Other	$1,093 OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex) $204	PROMO:IMAGE 1 SPIES HD CCU,H3-LNK,LNK $150	TELESCOPE,HOPKINS II,AUTOCLAVABLE $125	SURGICAL $122	STRATTICE $116	Other $377

**Types of Payments**
Travel and Lodging	$9,568
Food and Beverage	$3,869

Biography

Dr. Alian Garay is a general surgery and bariatric surgery specialist in Kingwood, TX. Dr. Garay's areas of expertise include the following: thyroid problems, gallbladder problems, and inguinal hernia repair. He is affiliated with HCA Houston Healthcare. He attended medical school at the University of Texas Medical School at Houston. Dr. Garay trained at a hospital affiliated with the University of Colorado Denver for his residency. In addition to English, he speaks Spanish.