Shared decision-making
Mesh type, position, alternatives, benefits, tradeoffs, and the possibility of selected no-mesh repair should be discussed before surgery.
Experience, options, and measured outcomes
Why Dr. Gay for Hernia Surgery?
Dr. Daniel Gay provides individualized hernia care in Boise with direct surgeon access, broad experience in open and robotic repair, thoughtful mesh selection, and a commitment to measuring outcomes that matter to patients.
2025 practice data
Hernia volume and experience
The following figures were reported on Dr. Gay’s prior hernia-surgery page. Volume and outcomes provide useful context, but no statistic guarantees an individual result.
281Hernia repairs in 2025
700+Robotic cases
1.7%Reported recurrence, hematoma, or return-to-OR complication rate
| Hernia type | Open | Robotic | Total |
|---|---|---|---|
| Inguinal | 77 | 99 | 176 |
| Umbilical | 55 | 15 | 70 |
| Large ventral / incisional | 15 | 20 | 35 |
| Total | 147 | 134 | 281 |
The prior page also reported a 2% chronic-pain rate. Definitions, follow-up duration, case complexity, and patient factors affect outcome statistics.
Advanced techniques
Open, robotic, and complex abdominal wall repair
Dr. Gay selects the surgical approach around the hernia, prior operations, tissue planes, patient health, and personal goals. His reported robotic experience includes advanced eTEP retrorectus repair and transversus abdominis release component separation. He has also developed preoperative abdominal-wall Botox protocols with local interventional radiology for selected complex cases.
- Primary and recurrent inguinal hernias
- Umbilical, ventral, and incisional hernias
- Open and robotic repair options
- eTEP retrorectus mesh placement
- TAR component separation
- Complex-case optimization and second opinions
Mesh philosophy
Material and repair strategy are individualized
Dr. Gay tailors mesh selection to the patient’s anatomy, health goals, repair type, tissue quality, and infection risk.
Fully absorbable Phasix™
A biosynthetic scaffold that provides temporary structural reinforcement and gradually resorbs over approximately 12–18 months, leaving remodeled native tissue.
Permanent synthetic options
For repairs requiring lifelong baseline support, options may include polypropylene ProGrip™, Parietene™ macroporous mesh, or Bard™ Soft Mesh.
Recognition and patient perspectives
Care patients describe as clear and personal
Dr. Gay received the Gold Award in Idaho’s Best surgeon category based on patient feedback and community recognition. The prior page displayed a 5.0 average rating and 100% recommendation metric alongside selected reviews. Review themes below are anonymized.
GoldIdaho’s Best surgeon award
5.0Displayed average rating
100%Displayed recommendation metric
“Every detail was handled efficiently and clearly, with patience to explain concerns and help build a reasonable return-to-exercise plan.”
Anonymous multiple-hernia patient“Consultation and surgery were available quickly, questions were answered, and postoperative exercise suggestions were helpful.”
Anonymous hernia patient“After a prior incomplete repair, he explained the corrective approach thoroughly and the entire process went smoothly.”
Anonymous recurrent-hernia patient“Communication, respect, and direct access to the surgeon and staff made the recovery process more comfortable.”
Anonymous surgical patient“From consultation through follow-up, the procedure and expected recovery were explained clearly.”
Anonymous general surgery patient“He listened to preferences about mesh and sutures, then patiently reviewed the selected technique again before surgery.”
Anonymous inguinal-hernia patient“Robotic technology and the surgeon’s enthusiasm helped make a difficult-location hernia repair feel approachable.”
Anonymous robotic-hernia patient familyReady to talk with Dr. Gay?
Bring your questions, imaging, prior operative reports, and goals to a personalized consultation.