Patient Information

Frequently Asked Questions

Physician-authored answers to the questions we hear most from patients considering GO-SCOPE. When in doubt, bring your questions directly to a consultation.

Understanding GO-SCOPE

What the procedure is, how it works, and how it differs from surgery

GO-SCOPE is a minimally invasive procedure that removes gallstones while keeping your gallbladder intact. Developed and performed by Dr. John Smirniotopoulos, it uses advanced imaging to locate and remove stones through a small incision in the skin — no abdominal surgery, no organ removal.

Candidacy

Who GO-SCOPE is appropriate for — and when it is not

GO-SCOPE may be an option if you have symptomatic gallstones and want to explore an alternative to surgery — whether because surgery isn't ideal for your health situation, or simply because you'd prefer to keep your gallbladder. The best way to find out is to reach out and schedule a consultation.

The Procedure

A step-by-step account of what happens before, during, and immediately after GO-SCOPE

What sets GO-SCOPE apart is that the gallbladder is accessed, the scope is inserted, and the stones are removed all in a single session. Placing a small drain is the final step of that same visit — it allows the gallbladder to decompress and the tract to heal. At a follow-up appointment 2–4 weeks later, the drain is evaluated and removed once imaging confirms no residual stones and the site has healed.

The Drain Tube & Recovery

What patients should expect during the tube phase and afterward

The drain is placed at the end of the procedure — after the stones have already been removed — to allow the gallbladder to decompress and the tract to heal. It's not a preparatory step; the access, scope, and stone removal all happen in the same session. The drain is then evaluated and removed at a follow-up visit 2–4 weeks later.

Recurrence & Long-Term Outcomes

Honest answers about stone recurrence risk and what it means for your care

Yes, it's possible. Because the gallbladder is preserved, it retains the ability to form new stones over time. That's something we're upfront about — and it's part of why follow-up is important. Many patients do well long-term, and if stones do return, there are options to address them.

When Your Physician Recommends Surgery

How to navigate a situation where your surgeon or gastroenterologist has not discussed GO-SCOPE

Surgery is a legitimate and widely used option — and for many patients it's the right one. But it isn't the only one. GO-SCOPE is performed by a different type of specialist, which is why most surgeons may not mention it. Getting a second opinion is always reasonable when you have questions.

Access, Insurance & Next Steps

Practical information for patients ready to move forward

Coverage varies by plan and clinical situation. Our team works with patients to check their coverage and navigate the prior authorization process before anything is scheduled. Reach out to us directly and we'll help you understand what to expect for your specific plan.

Ready to find out if GO-SCOPE is right for you?

Consultations are available in-person and via telemedicine. Bring every question you have — that is exactly what the consultation is for.

Medical Disclaimer: The information on this page is provided for educational purposes and reflects the clinical experience and perspective of Dr. John Smirniotopoulos, MD. It does not constitute individualized medical advice and is not a substitute for evaluation by a qualified physician. Results, risks, and candidacy vary by individual medical factors.

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