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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 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 20 years of experience. Dr. Alian Garay, MD is affiliated with HCA Houston Healthcare and HCA Houston Healthcare Kingwood HCA Houston Healthcare North Cypress.

Office Locations

Address:

855 Rockmead Drive
Kingwood, TX 77339

Some issues Dr. Alian 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.

Colonoscopy

Colonoscopy is the use of a special tool called a colonoscope (a thin, flexible tube with a camera on the end) to examine the inside of the colon and rectum. The tube is typically inserted anally, and it allows the physician to examine the large intestine from the inside. It may be done at any time to diagnose bowel problems, but routine colonoscopies are advised after the age of 50 to screen for colon cancer.

A colonoscopy may be performed to diagnose:

Intestinal ulcers
Polyps
Bowel cancer
An unidentified source of pain or bleeding in the intestine

Patients may be asked to drink only liquids in the days before a colonoscopy, or they may be given an enema to remove residual fecal matter. Before the exam, patients are given medication to help them relax, and then lay on their side on a table. The scope is inserted into the anus and gently moved all the way through the large intestine. Air may be pumped into the intestine to improve the view for the physician. Any polyps that are found will be removed. Then the colonoscope will be withdrawn. A colonoscopy is not usually painful, but patients may feel some bloating or have some cramps right afterward. If patients have polyps removed, they might experience a small amount of bleeding. Any side effects should go away within a few hours.

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.

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

doctor visit	53
hospital care	93
inpatient care	93

**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

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

doctor visit	55
hospital care	11
inpatient care	11

**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

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

doctor visit	51
hospital care	60
inpatient care	60

**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

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

doctor visit	63
hospital care	29
inpatient care	29

**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

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

doctor visit	10
hospital care	44
inpatient care	44

**Gender**
Male	35
Female	53

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

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

hospital care	90
inpatient care	90

**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

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

anastomosis	13
catheterization	13
doctor visit	9
gastrointestinal procedures	13
hospital care	157
inpatient care	157
minimally invasive procedures	13
tracheal (windpipe) procedures	11

**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

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

anastomosis	12
catheterization	12
doctor visit	14
gastrointestinal procedures	12
hospital care	166
inpatient care	166
minimally invasive procedures	12

**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

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

anastomosis	20
catheterization	20
doctor visit	70
gastrointestinal procedures	20
hospital care	244
inpatient care	244
minimally invasive procedures	20
tracheal (windpipe) procedures	12

Average Medicare Procedure Volume From 2013 - 2021

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

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

anastomosis	15
catheterization	15
doctor visit	42
gastrointestinal procedures	15
hospital care	99
inpatient care	99
minimally invasive procedures	15
tracheal (windpipe) procedures	11

Average Medicare Patient Data From 2013 - 2021

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

**Gender**
Female	54
Male	43

**Ethnicity**
Black / African American	5
Asian / Pacific Islander	0
Non-Hispanic White	73
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
85 and over	4
75 to 84	7
Less than 65	30
65 to 74	38

Average of Total of Conditions of Medicare patients treated by Dr. Alian Garay, MD From 2013 - 2021

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

Hypertension	55
High Cholesterol	44
Stroke	8
Ischemic Heart Disease	33
Depression	36
Chronic Kidney Disease	36
Asthma	12
Osteoporosis	2
Heart Failure	26
Chronic Obstructive Pulmonary Disease	19
Diabetes	33
Atrial Fibrillation	10
Dementia	12
Cancer	4

Education & Training

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

HCA Houston Healthcare

HCA Houston Healthcare Kingwood HCA Houston Healthcare North Cypress

Ratings & Reviews

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General Payments

These charts describe general payments received by Dr. Alian 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 specialist in general surgery and bariatric surgery in Kingwood, TX. After completing medical school at the University of Texas Medical School at Houston, Dr. Garay performed his residency at a hospital affiliated with the University of Colorado Denver. Clinical interests for Dr. Garay include gallbladder problems, inguinal hernia repair, and small intestine cancer. In addition to English, he speaks Spanish. Dr. Garay is affiliated with HCA Houston Healthcare.