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PRESIDIO SURGERY CENTER LLC is a Medicare-certified ambulatory surgery center located in SAN FRANCISCO, CA, offering same-day outpatient surgical procedures. Google rating: 4.2 out of 5 from 25 reviews.

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PRESIDIO SURGERY CENTER LLC

san francisco, CAMedicare Certified

Location & Directions

Address

1635 DIVISADERO ST, # 200

SAN FRANCISCO, CA

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(415) 346-1218

Service Area

This provider serves patients in SAN FRANCISCO and surrounding areas in CA.

Contact this surgery center for service area details

Note on Service Area

This ambulatory surgery center serves patients in the surrounding area. Contact this surgery center directly to confirm service availability in your specific location.

Procedures Performed

Common outpatient procedures performed at this ambulatory surgery center, based on reported specialties.

Orthopaedic Surgery6
Knee ArthroscopyA camera and small instruments are inserted through incisions the size of a buttonhole to repair cartilage, trim a torn meniscus, or remove loose fragments. Because the joint is not opened fully, recovery is far faster than traditional open knee surgery.Shoulder ArthroscopyUses a small camera and instruments through tiny incisions to repair the shoulder joint — commonly for impingement, labral tears, or damaged cartilage. Most patients go home the same day and begin physical therapy within the first week.ACL ReconstructionRebuilds the torn anterior cruciate ligament using a graft, since a fully torn ACL does not heal on its own. The surgery itself is outpatient, but returning to cutting and pivoting sports typically takes nine to twelve months of structured rehabilitation.Rotator Cuff RepairReattaches torn tendons in the shoulder to the bone. Pain relief often comes well before strength does — a sling is typical for several weeks and full recovery commonly takes four to six months, with physical therapy doing much of the work.Carpal Tunnel ReleaseCuts the ligament pressing on the median nerve at the wrist to relieve numbness, tingling, and night pain in the hand. The procedure takes about 15 minutes under local anesthesia. Night symptoms often improve immediately; grip strength returns over several weeks.Joint ReplacementDamaged joint surfaces are replaced with implants, most commonly at the knee or hip. Once exclusively a hospital procedure, selected healthy patients now have this done at surgery centers and go home the same day with a structured recovery plan.
Otolaryngology (ENT Surgery)6
Tonsillectomy / AdenoidectomyThe tonsils and sometimes the adenoids are removed for repeated infections or sleep-disordered breathing. Recovery is notably harder for adults than children, with significant throat pain for a week or more and a real emphasis on staying hydrated.Ear Tube PlacementTiny tubes are placed through the eardrum to drain fluid and ventilate the middle ear, most often for children with recurrent ear infections. The procedure takes about 10 minutes and the tubes usually fall out on their own within a year.Sinus Surgery (FESS)A camera and instruments passed through the nostrils open blocked sinus drainage pathways, with no external incisions. Considered for chronic sinusitis that has not improved with medication. Congestion often worsens briefly before it improves.SeptoplastyThe wall of cartilage and bone between the nostrils is straightened to improve airflow through a blocked side. It addresses breathing rather than external appearance, though it is sometimes combined with cosmetic reshaping.Turbinate ReductionSwollen tissue inside the nose is shrunk to improve airflow, frequently at the same time as septoplasty. Often the difference between a nose that is structurally straight and one that actually feels open.LaryngoscopyA scope examines the voice box and vocal cords, used for persistent hoarseness, difficulty swallowing, or throat pain that has not resolved. Small lesions can sometimes be biopsied or removed during the same procedure.
Interventional Pain Management6
Epidural Steroid InjectionsSteroid medication is injected near irritated spinal nerve roots to calm inflammation causing sciatica or arm pain. Often used to make physical therapy tolerable rather than as a standalone cure. There are limits on how frequently they can be repeated.Nerve Block InjectionsAnesthetic, sometimes with steroid, is injected around a specific nerve to interrupt pain signals. Used both to treat pain and to identify its source, since relief from a precisely placed block points to the nerve responsible.Radiofrequency AblationHeat generated by radio waves disables the small nerves carrying pain signals from an arthritic spinal joint. Relief commonly lasts six months to two years. Because the nerves regenerate over time, the procedure can be repeated.Spinal Cord StimulationA device delivers mild electrical pulses to the spinal cord to interrupt chronic pain signals before they reach the brain. A temporary trial period is done first, so you can judge the benefit before committing to a permanent implant.Joint InjectionsSteroid or lubricating medication is injected directly into an arthritic or inflamed joint. Image guidance is often used to confirm placement. Relief typically lasts weeks to months and can make physical therapy more productive.Trigger Point InjectionsA local anesthetic is injected into a taut, tender knot of muscle to break the spasm-and-pain cycle. The appointment takes minutes and you can usually return to normal activity the same day.
Plastic & Reconstructive Surgery6
Breast Augmentation / ReductionBreast size is increased by placing implants, or decreased by removing breast tissue and skin and repositioning the remaining tissue. Reduction is often performed to relieve back, neck, and shoulder pain caused by breast weight.RhinoplastySurgery that reshapes the nose by altering the bone and cartilage beneath the skin. It is performed to change appearance, to correct breathing problems caused by internal structure, or both. Swelling takes months to fully resolve.FaceliftLiposuctionFat is suctioned out from beneath the skin through small tubes called cannulas, reshaping a specific area such as the abdomen, flanks, or thighs. It targets localized deposits and is a contouring procedure rather than a method of weight loss.Wound ReconstructionRebuilds skin and underlying tissue where a wound is too large or too damaged to close directly. Surgeons move nearby tissue, or transfer skin and muscle from elsewhere on the body, to cover the defect. Often follows trauma, infection, or cancer removal.Skin GraftingHealthy skin is taken from one area of the body and transplanted to cover a wound or burn elsewhere. Both the graft site and the donor site need care, and the donor site is often the more uncomfortable of the two.

Procedure list is based on CMS-reported specialty designations. Contact the facility to confirm specific procedures offered.

Browse all procedures by specialtyCommon questions about outpatient surgery

Patient Experience Scores

Overall: 94/100 (+1 vs natl avg 93)

Based on 94 surveys · 33% response rate

OAS CAHPS scores are linear means (0–100) from Medicare patient surveys. Higher is better. National averages shown for comparison.

Overall RatingPatients who gave the facility a high overall rating
94+1 vs national avg (93)
0↑ natl avg100
Would RecommendPatients who would definitely recommend this facility
97+5 vs national avg (92)
0↑ natl avg100
StaffPatients who rated staff care and professionalism highly
98+2 vs national avg (96)
0↑ natl avg100
CommunicationPatients who felt staff communicated well about their care
94+0 vs national avg (94)
0↑ natl avg100
Source: OAS CAHPS (Outpatient and Ambulatory Surgery CAHPS) Survey, Centers for Medicare & Medicaid Services. Scores are linear means on a 0–100 scale.

Safety Metrics

Hospital Transfer Rate

% of patients transferred to a hospital during or after their procedure (ASC-4). Lower is better.

0.13%

natl avg ~1.0%

Patient Fall Rate

% of patients who experienced a fall resulting in injury. Lower is better.

0.03%

natl avg ~0.1%

Patient Burn Rate

% of patients who experienced a burn during their procedure. Lower is better.

0.00%

natl avg ~0.03%

Wrong Site Surgery Rate

% of cases involving wrong-site, wrong-side, wrong-patient, or wrong-implant surgical events. Lower is better.

0.00%

natl avg ~0.01%

Source: CMS ASC Quality Reporting Program. Data reflects Medicare patient outcomes reported by the facility.

Preparing for Your Procedure

Guides covering what to expect before, during, and after outpatient surgery.

Knee Arthroscopy Recovery Timeline
Week by week, what to expect after.
Shoulder Arthroscopy Recovery
Sling time, therapy, and getting back to normal.
Tonsillectomy and Ear Tubes: A Parent Guide
What to expect if your child is having either.
Pre-Op Preparation Checklist
What to do in the weeks before your procedure, from two weeks out to the morning of.
What to Expect on Surgery Day
Arrival, check-in, the procedure itself, and discharge.
Understanding Anesthesia at an ASC
Sedation types, who administers it, and how recovery differs.
Browse all patient resources

Explore More Surgery Centers

Compare this facility with others nearby.

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PACIFIC SPECIALIST SURGICAL CENTER LLC
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THE SAN FRANCISCO VEIN AND VASCULAR INSTITUTE LLC
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EYE SURGERY CENTER SAN FRANCISCO
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3.9(11)
PACIFIC HEIGHTS SURGERY CENTER LP
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3.8(8)
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Google Reviews

4.2
25 reviews
Nabila Ryan

Nabila Ryan

1/20/2026 - Still waiting for Presidio Surgery center to refund me. My insurance paid them in full months ago. Despite calling multiple times now with the response "they are working on the refund", I finally reported them to the Better Business Bureau. Really horrible experience with the Presidio Surgery Center. I met my deductible and my insurance covered for two procedures I had done but I was still charged for both procedures at the surgery center before they can even do the intake process. I called my insurance to see what was going on and they confirmed that for both instances I overpaid and the Presidio Surgery Center needs to give me a refund. My insurance called about 8 or 9 times now and still no response. They keep getting passed on from one person to another. I'm not sure how they are legally running this business by forcing patients to overpay on the day of their surgery.

Verified Google review
Andy Chu

Andy Chu

I paid for my surgery prior. There is some sort of contract issue between them and my insurance. Explanation of benefit was sent to them and they received it. I stated that my insurance indicates I overpaid and I was entitled to a refund. No response since then. It has been 2 months. The issue is between them and the insurance and not me. Edit: Thank you for the response. I have called the Presidio Billing Team multiple times and left them voicemails to respond. They have yet to call me back. The last communication was that the representative would ask management to issue a refund. That was over a month ago. The issue is that I was overcharged per my health insurance. They have stated this and the position of the billing team is that the contracted amount does not reflect "a new agreement." As a patient, I should not be placed in a contract dispute between your surgery center and my insurance. I have called my own insurance multiple times and they have confirmed that I have overpaid per the terms.

Verified Google review
Ainsleet

Ainsleet

I love this place. The staff are excellent. The front desk staff is friendly and helpful. The nursing staff are warm, kind and supportive. If is very comforting and calming to have this kind of care when there is potentially so much anxiety around having it.

Verified Google review
Shay Castaneda

Shay Castaneda

Presidio Surgery Center is simply amazing. I just had Surgery on 8/7 there and they gave me the best care. Before my surgery unfortunately I had a horrible migraine and was not able to take anything. But after talking with the nurses they were able to give me something to help and were so accommodating. The nurse that was checking me in shut the lights off in the room we were in and made sure I had an ice pack for my head. After I got into my gown and headed to have my IV placed they did the same thing there. Everyone was so kind and understanding of the migraine pain that I was in. Thank you Presidio for being so kind to me and giving me top notch care

Verified Google review
Del G

Del G

This is the fourth time I have had surgery at the Presidio Surgery Center within the last 12 years. My overall experience has been outstanding each time. Three different doctors from a San Francisco UCSF practice have performed four different (separate) procedures on me using Presidio Surgery Center. On this last particular hip replacement procedure, each one of the Staff, Nurses, PAs and especially the Surgeon and Anesthesiologist were extremely courteous, caring, efficient and professional. Although I do not desire needing another surgery/procedure, IF a repair or replacement is necessary on a joint, ligaments, tendons or nerves on any of my arms, legs or extremities, Presidio Surgery Center would absolutely be the place I would want the procedure performed at! I have nothing less than 5 Stars to give them and their operation.

Verified Google review
See All Reviews on Google

Reviews from Google Places for PRESIDIO SURGERY CENTER LLC. These are real experiences shared by patients.

Contact

Phone

(415) 346-1218

Website

www.sutterhealth.org/find-location/facility/presidio-surgery-center-1043247295

Years in Operation

20 years

Est. 2006

Ownership

For-Profit

Accreditation

Joint Commission

Operating Rooms

6

Specialties

Orthopaedic SurgeryOtolaryngologyInterventional Pain MedicinePlastic and Reconstructive Surgery
Medicare Certified

Verify quality data on the official CMS source:

View on Medicare.gov

Questions to Ask

  • •Does my insurance cover this procedure here?
  • •What is the surgeon's experience with this procedure?
  • •What is the facility's hospital transfer rate?
  • •What anesthesia options are available?
  • •What is the recovery process and follow-up care?
  • •Are there pre-op requirements (labs, fasting, etc.)?