Beach sunset · plein-air study
'What makes you special' is a question every practice's marketing eventually answers. Ours mostly hasn't. Here it is: not one thing, mostly not new, and not more expensive — it's the combination we kept, and the small stuff we sweat.
H. Rand Scott, MD · Medical Director · December 2026 · 8 min read
Read the article →Recent pieces on how we operate and how we think about the work.
Most surgery centers deliver anesthesia through nurse anesthetists. We chose not to. The difference — and why it mattered enough for us to build the whole facility around it.
H. Rand Scott, MD · September 2026 · 6 min read
Read more →Every surgeon at NCSS handles smoking status differently. The range of positions is itself the point — and why we don't offer a single site-wide policy that pretends the question is simple.
H. Rand Scott, MD · October 2026 · 7 min read
Read more →Patient portals became standard equipment in the 2010s. NCSS chose not to adopt one — for reasons of privacy, attack surface, and appropriate scale for a small surgical facility.
H. Rand Scott, MD · November 2026 · 7 min read
Read more →The Journal publishes when we have something worth saying, not on a marketing calendar. What's currently being written or considered:
What it means to be an affiliated-surgeon facility — and why our roster of nine surgeons choose to bring their patients here rather than to hospitals or other outpatient centers.
How a registered technique developed at NCSS in the 2000s changed the way vertical mastopexy is done — and what it took to get there.
Every scheduled surgical patient is offered a free Rest-Assure pre-operative consultation with Dr. Rand Scott personally — medical history, medication planning, and discharge coordination before the day of surgery.
(949) 644-8182Monday–Thursday, 8am–3pm · Friday by appointment only.
The perioperative care standard that defines NCSS — and the subject of the first Journal article.
Read more →The facility, the physician-owned model, and the operational standards that support the affiliated roster.
Read more →The nine affiliated surgeons who bring their patients to NCSS.
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