Have Adrenal Surgery With Us
The Carling Adrenal Center at the Hospital for Endocrine Surgery in Tampa, Florida
Have Adrenal Surgery With Us
The Carling Adrenal Center at the Hospital for Endocrine Surgery in Tampa, Florida
Schedule your adrenal surgery with the world’s best, most experienced, and highest volume adrenal surgeon
Patients with adrenal disease travel from around the globe to have adrenal surgery with Dr. Carling at the Hospital for Endocrine Surgery in Tampa, FL. Dr. Carling performs adrenal surgery exclusively and is the highest volume adrenal surgeon in the world, performing about 500 adrenal operations per year.
This page will detail everything you need to know about becoming a patient and scheduling your adrenal surgery with us. When you are ready, fill out the "new patient form" at the link below and we will be in touch with you shortly.New Patient Form
Why choose us for your adrenal surgery?
Unparalleled Surgical Experience
The Carling Adrenal Center performs more adrenal operations than any other hospital or university in the world. Dr Carling performs as many as 6 adrenal operations per day while most universities perform fewer than 10 per year. This experience gives our center unparalleled results with higher cure rates, faster operative times, less anesthesia, and overall better outcomes. It is well known that experience and surgical volume is directly tied to cure rates and patient outcomes and our dedication to adrenal surgery proves this day after day.
World-Renowned Adrenal Surgeon
Dr. Carling has dedicated his entire career to the diagnosis and surgical treatment of adrenal gland tumors. He built the Yale University Adrenal Tumor Program into the preeminent adrenal tumor surgery center in the world where he performed more adrenal operation in a week than 97% of hospitals in the United States perform in a year. In early 2020, he moved his adrenal surgery program to Tampa, Florida to open the Carling Adrenal Center specializing in all forms of adrenal surgery, offering minimally invasive adrenalectomies to nearly all patients. Dr. Carling is the most experienced adrenal surgeon in the world and the most knowledgeable surgeon-scientist regarding adrenal gland function and disease, adrenal tumors and cancer, and all forms of adrenal gland surgery.
Best Outcomes for Adrenal Disease
Historically, over 99% of all patients are cured at their very first visit with us--with over 90 % having an operation that routinely takes between 20 and 45 minutes. Our typical patient has an operation that takes about 30 minutes and goes home the next morning with a couple of small Band-Aids on their back.
Customized Operation for Every Patient
Every patient has a treatment plan that is customized for them, taking into consideration every aspect of their adrenal problem, including their age and tumor size. Most patients benefit from a "mini-back scope" operation that is typically performed in under 30 minutes. But every patient has a customized surgical plan to make sure of the highest cure rate and the safest procedure.
Expertise at Pheos, Conn's, and Cushings Tumors
Dr Carling operates on more patients with pheochromocytoma tumors than any other surgeon in the world (2-5 per week). His anesthesia team is expert at this as well assuring the best outcomes with blood pressure and other issues common to these patients. He also operates on several patients with Conn's Syndrome every week and thus his team is expert at taking care of the potassium issues and blood pressure issues these patients may have. We also perform adrenal surgery for Cushing's Syndrome several times per week and know their special needs regarding steroid replacment. Our world's highest experience with these tumors helps give our patients customized and expert care that they simply cannot get anywhere else.
Adrenal Surgery "Dream Team"
Dr. Carling’s entire adrenal surgery team is solely dedicated to adrenal surgery, from his surgery technicians to his nurse practitioners to his intake team. He has the support of the most experienced endocrine surgeons in the world who work alongside him at the Hospital for Endocrine Surgery and has dedicated endocrine pathologists to assure the best and most accurate diagnosis.
Dedicated Endocrine Surgery Hospital
One of the most important factors that sets us apart from all other surgeons is that we operate in a hospital that was designed for adrenal surgery. The Hospital for Endocrine Surgery opened in Tampa, Florida in January 2022. This specialized hospital treats only adrenal, thyroid, and parathyroid patients, meaning you will benefit from an extremely focused care team including anesthesia and nursing staff that are dedicated to curing the disease you have. A dedicated endocrine surgery hospital means you have much less chance of being exposed to contagious patients or the nasty bacteria that are often prevalent in large hospitals. This brand-new, state-of-the-art hospital features the most advanced equipment, surgical techniques and highly experienced teams caring for you every step of the way. Within 6 months of opening, the hospital has a national ranking in the top 99.5% in every metric measured.
Highest Published Surgeons
The surgeons at the Hospital for Endocrine Surgery have published over 900 peer-reviewed articles in the medical literature, with Drs Carling, Clayman, and Norman having over 250 publications each. Dr Carling has published articles on adrenal tumors in the New England Journal of Medicine, Science, and Nature, three of the most prestigious journals. Like all our surgeons, Dr Carling presents regularly at the largest national and international endocrine meetings and has been an executive in the biggest endocrine societies. We have learned from our extensive experience, and we publish our results and share our knowledge.
Peace of Mind
One of the most common answers we get when we ask patients why they traveled so far to have adrenal surgery with us is: “peace of mind”. When faced with an operation that can have very bad complications, or faced with the need for an operation to cure a debilitating adrenal disease, patients tell us that they have peace of mind when they decide to come here. Knowing that they will have the most experienced adrenal surgeon in the world operating, within a brand- new specialty hospital, provides a sense of calm reassurance. We provide a service and a level of expertise that is not available anywhere else in the world.
What is the step-by-step process to becoming a patient?
It usually takes about two weeks from filling out a form to having your adrenal operation with the world’s most experienced adrenal surgery team.
Step 1: Complete New Patient Form
Step 2: Send Your Medical Records
Step 3: Connect With Patient Care Coordinator
Step 4: Consult With a Surgeon
Step 5: Schedule Your Adrenal Surgery
What will adrenal surgery cost me?
There are two primary fee categories to consider which are detailed below
1) A Consultation With an Expert Surgeon
During your "Second Opinion Consultation", Dr. Carling will speak with you after a thorough review of your clinical records. He will discuss your medical condition with you and answer any questions you may have.
Virtual second opinion consultations are not covered by any insurance company other than Medicare.
Electing for a virtual second opinion consultation means you will be responsible for the cost, which is $1,500.
2) The Adrenal Operation Itself
We are in-network for most major health plans (and many minor ones). This means the operation itself will be covered by almost all insurance companies.
The total cost if you do not have insurance and must pay for an adrenal gland operation out of pocket is very affordable. We do not publish our price schedule online, but you can email Dr. Carling at firstname.lastname@example.org and he will communicate directly with you based upon the current understanding of your disease. The price will include the consultation fee, chart prep, surgeon fee, anesthesia, anesthesiologist, x-ray, hospital, laboratory, operating room, operating room team, and recovery room. Everything except travel and hotel.
Adrenal Surgery FAQs
Do you take my insurance?
We take all major insurance plans and most minor insurance plans. We are preferred providers for the Blues, United, Cigna, Aetna, and dozens of others. We work with insurance companies from other states every day. We take Medicare and perform more than 10 times more Medicare operations than any other hospital*. Medicare will pay for all consults and the operation. Our insurance specialists will tell you prior to your operation how much your deductibles are and any other potential costs.
Will I need a rental car in Tampa?
If you stay at one of our partner hotels, you will not need a rental car. They will provide transportation to and from the airport, and they will take you to the hospital and pick you up in the very nice “Hospital for Endocrine Surgery Sprinter Van”. The Hospital for Endocrine Surgery is only 4 miles from the Tampa International Airport and the hotels are adjacent to the airport too. Our hotels are the highest rated in Tampa Bay on Trip Advisor. Stay in our partner hotels and don’t worry about a rental car.
What type of anesthesia is used?
Even though more than 95% of our patients have a minimally invasive operation that typically takes 30 minutes on average, it still requires you to be asleep using general anesthesia. However, because our anesthesia team has been with us for many years, we use very quick acting anesthesia drugs that are very well tolerated. This has significant benefits because it is short acting allowing most patients to feel very well after the operation with very little pain.
How quickly can you get me in for surgery?
We perform 10-12 adrenal operations every week, Monday through Wednesday, so getting you on our schedule is easy—the slow part is almost always getting your records to us. Our goal is to provide every patient with a consultation within 48 hours of all of their medical records being received at our office. The biggest delay is almost always getting your records—so help us out and we can get you in the operating room within a week or two.
How long will I be in the hospital?
Adrenal surgery requires an overnight stay. It is very uncommon for us to have a patient stay more than one night in the hospital. For the rare patient who has adrenal cancer or huge tumors (larger than 12 cm), the process is a bit more complex, but we are experts at that, too, and will discuss this with you during your consultation.
Can I travel alone?
Yes, you can come have adrenal surgery with us by yourself. Most people travel with a family member or a friend—and they can be with you for most of the pre- op and post-op time. But yes, we have taken care of many people who have come for surgery by themselves. We understand how to do this and will take great care of you.
Can my family stay at the hospital while I am in surgery?
Yes! The Hospital for Endocrine Surgery does not have a medical ward so there are no COVID patients. Your family is welcome to come and can be with you before and after the operation. The cafeteria is open to them for free food and we even have private offices for them to work if they need quiet.
Who will be my surgeon?
Dr. Carling will be your surgeon for all adrenal surgery. Additionally, we have the most experienced endocrine surgeons in the world and every operation features two surgeons participating and agreeing on the findings prior to your operation being completed.
Where should I stay near the hospital?
We have 5 partner hotels that have taken care of more than 10,000 of our patients. They are adjacent to the airport and these hotels will provide all the transportation you need. You don’t need a rental car if you stay in one of our partner hotels. The newest Trip Advisor (2022) has our hotels rated the number 1 hotel in Tampa Bay out of 293 rated hotels.
Do I need a referral to schedule my surgeon consult?
You do not need a referral to schedule a consult with us. Medicare does not require any referral. We are in-network for all major insurers. If you have an HMO, you will need a referral for surgery. Our office will help you figure this out.
Will I have surgery residents and fellows operating on me?
No. Although many universities have medical students, residents and fellows learning how to perform adrenal surgery, we don't do that. Here, we treat our patients just like we want treated -- and that means you get expert surgeons only, not somebody learning how to perform adrenal surgery.
Will I need to come back to Tampa for a follow-up visit after surgery?
No. You should make an appointment with your endocrinologist at home about 4 weeks after your surgery. We will send your doctors the reports from your surgery so they will have everything they need to handle the follow-up.
Ready to schedule your consultation with Dr. Carling?
The first step in the process of becoming a patient is filling out your new patient form. When the form is completed, you will get a phone call from our Patient Concierge who will then introduce you to your “patient care coordinator” who will contact you within 1-2 business days to set up your second opinion consultation. During this consultation, which can be over the phone or in-person at our Tampa office, you and your surgeon will discuss the details of your case.
Have a Question?
We know that there is a lot of information on the site and it can be hard to take it all in. If you have a question for Dr. Carling or for our office, please contact us using this form and we'd be happy to help.