Dr. Salvador H. Vazquez

Nicholas Czosnyka is a General Surgeon in Spearfish, South Dakota. Dr. Czosnyka is rated as an Experienced provider by MediFind in Gastrectomy. His top areas of expertise are Hernia, Gallbladder Disease, Familial Colorectal Cancer, Gallstones, and Gastrectomy. Dr. Czosnyka is currently accepting new patients.

Dr. Pial Hope is a board-certified general surgeon with fellowship training in minimally invasive bariatric and foregut surgery. He performs a wide range of ASMBS-endorsed metabolic procedures, including sleeve gastrectomy, Roux-en-Y gastric bypass, and both traditional and single-anastomosis duodenal switch. In addition to primary bariatric procedures, Dr. Hope provides the complete range of revisional bariatric surgery, a highly specialized and complex area within the field. Patients who experience complications or less-than-ideal outcomes after bariatric surgery often face difficulty finding a surgeon who is both willing and qualified to help. Dr. Hope is committed to thoroughly evaluating these patients and providing tailored recommendations. Beyond metabolic surgery, Dr. Hope also performs a high volume of non-bariatric foregut surgery for benign foregut pathology, including hiatal and paraesophageal hernias as well as gastroesophageal reflux disease (GERD). He also has significant expertise in surgery for gastrointestinal motility disorders, such as achalasia and gastroparesis. Dr. Hope is rated as an Experienced provider by MediFind in Gastrectomy. His top areas of expertise are Hernia, Obesity, Hiatal Hernia, Abdominal Wall Surgery, and Sleeve Gastrectomy.