Specialized Surgical Care for Children from Infancy Through Adolescence

Serving families in Reno, Sparks, Carson City, and throughout Northern Nevada

Surgical needs in children are uniquely different from those in adults — young bodies are still growing, development is ongoing, and medical conditions often present differently. Pediatric surgery focuses on diagnosing and treating surgical problems in infants, children, and adolescents, ranging from common issues like hernias and appendicitis to complex congenital anomalies and tumors.

Western Surgical Group’s Pediatric Surgery Division provides compassionate, family‑centered care designed to support children and their families throughout the surgical process. Our fellowship-trained pediatric surgeons, Dr. Frieda Hulka and Dr. Heron Baumgarten, are the only two pediatric general surgeons in Northern Nevada, bringing specialized expertise to treat children of all ages — from premature infants to teenagers.

Why Choose Western Surgical Group for Your Child’s Care?

  • Only Pediatric Surgery Program in Northern Nevada: Dr. Hulka and Dr. Baumgarten are the region’s exclusive fellowship-trained pediatric general surgeons
  • Comprehensive Care: From routine procedures to complex congenital repairs and pediatric oncology
  • Minimally Invasive Expertise: Specialized training in laparoscopic and thoracoscopic techniques for faster recovery
  • Family-Centered Approach: We educate and support families through every step of the surgical journey
  • Coordinated Care: Close partnerships with pediatric specialists, neonatologists, and hospital teams
  • Emergency Availability: Equipped to handle pediatric trauma and urgent surgical emergencies

What Sets Pediatric Surgery Apart

Children are not simply “small adults” — their anatomy and responses to illness are different. Pediatric surgeons receive additional fellowship training beyond general surgery, focusing specifically on:

  • Age-specific anatomical differences from premature infants to adolescents
  • Developmental considerations affecting surgical planning and recovery
  • Congenital anomalies and conditions unique to childhood
  • Child-appropriate surgical techniques and tools
  • Specialized anesthesia and pain management for young patients
  • Family communication and supporting parents through medical decisions

Because young patients are growing and developing, surgical care requires a multidisciplinary approach, including pediatric anesthesiology, radiology, neonatology, and subspecialty care. Many procedures can be performed using minimally invasive techniques, which often result in smaller incisions, less pain, shorter hospital stays, and faster recovery compared with traditional surgery.

Comprehensive Pediatric Surgical Services

Our pediatric surgery team treats the full spectrum of childhood surgical conditions, from newborn emergencies to adolescent care:

 

Doctors Specializing in Pediatric Surgery

Our Pediatric Surgery team includes fellowship‑trained surgeons with specialized expertise in childhood surgery. These physicians are experienced in treating infants through adolescents and understand the nuances of pediatric anatomy, development, and surgical needs. They partner with other pediatric specialists to deliver coordinated care that is both medically excellent and developmentally appropriate.

Pediatric Surgery Procedures We Perform

Our division offers a wide range of procedures tailored to pediatric needs, from routine surgeries to complex congenital repairs. These include hernia repairs, appendectomies, neonatal surgical procedures, correction of congenital anomalies, treatment of tumors and soft tissue masses, and minimally invasive laparoscopic surgery. Every surgical plan is individualized to your child’s diagnosis, age, and overall health, with a focus on safety and recovery.

  • Pediatric Pelvic & Genital Surgery
    • Undescended testes
    • Testicular torsion (emergency)
    • Inguinal hernias
    • Hydroceles
    • Ovarian tumors or masses
    • Disorders of sexual differentiation (DSD)
    • Circumcision (medical or delayed)
  • Pediatric Neck Surgery
    • Thyroglossal duct cysts
    • Branchial cleft cysts and sinuses
    • Thyroid disease
    • Thyroid cancer
    • Lymphadenopathy requiring surgical evaluation
  • Pediatric Oncology Surgery
    • Wilms tumor / renal tumors
    • Neuroblastoma
    • Hepatoblastoma
    • Adrenal or pancreatic tumors
    • Pleuropulmonary blastoma
    • Chest wall Ewing's sarcoma
    • Germ cell tumors
    • Soft tissue sarcomas (rhabdomyosarcoma)
    • Melanoma
    • Pulmonary metastatic disease
    • Lympho-vascular malformations
  • Neonatal & Pediatric Thoracic and Chest Surgery
    • Pectus excavatum (Nuss procedure)
    • Pectus carinatum
    • Spontaneous pneumothorax
    • Empyema / pulmonary abscess
    • Bronchogenic cysts
    • Video Assisted Thoracic Surgery (VATS)
    • Foreign body removal
    • Thymectomy for myasthenia gravis or thymic tumors
    • Breast masses (gynecomastia, fibroadenoma)
    • Durable venous access placement
  • Neonatal Abdominal Surgery
    • Duodenal atresia or web
    • Intestinal atresia or stenosis
    • Meconium ileus
    • Imperforate anus
    • Hirschsprung's disease
    • Sacrococcygeal teratoma
    • Abdominal wall defects (gastroschisis, omphalocele)
  • Pediatric Abdominal Surgery
    • Appendicitis
    • Pyloric stenosis
    • Intestinal malrotation with or without volvulus
    • Intussusception
    • Meckel's diverticulum
    • Inguinal, umbilical, or epigastric hernias
    • Choledochal cysts
    • Gallbladder disease (cholecystitis, biliary dyskinesia)
    • Gastrostomy feeding tubes
    • Reflux surgery (Nissen fundoplication)
    • Inflammatory bowel disease procedures

Frequently Asked Questions

Pediatric surgery is a surgical specialty that focuses on the treatment of infants, children, and adolescents with surgical conditions — from simple procedures to complex congenital anomalies.
Your child’s pediatrician often refers to a pediatric surgeon if a surgical condition is suspected — this may include hernias, appendicitis, congenital abnormalities, tumors, or trauma.
Children differ anatomically and physiologically from adults; pediatric surgeons receive additional fellowship training focused on these differences and on child‑specific surgical needs.
Many procedures are done in hospital settings where child‑specific anesthesia, nursing, and recovery services are available, ensuring your child’s safety and comfort.
Pain is managed proactively using child‑appropriate methods and medications; your surgeon and care team will provide a pain management plan tailored to your child.
We’ll provide detailed pre‑operative instructions, including fasting guidelines, medication adjustments, and what to expect on the day of surgery, to help your child approach surgery with confidence.

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Connect with Our Pediatric Surgery Team

If your child has a surgical concern — whether it’s a condition present at birth, an urgent problem, or a scheduled surgery — our Pediatric Surgery Division is here to help. Our team can answer questions, explain options, and guide you through what to expect before, during, and after surgery.