He is also a practicing and board-certified surgeon with a staff appointment in the division of general surgery at the University of Cincinnati’s University Hospital. His clinical focus is esophageal and gastric surgery, with an emphasis on new, minimally invasive approaches to common surgical procedures. In 2007, he was part of a team that performed the first trans-oral incisionless cholecystectomy in the United States. He is the coinventor and holds patents on single-port laparoscopic access tools.