Surgical Suite

Choosing a board-certified surgeon is only part of making a safe, informed decision about plastic surgery—the surgical environment matters just as much. At Garramone Plastic Surgery in Fort Myers, every procedure is performed in our fully QUAD A–accredited, in-house surgical facility. We have maintained accreditation for over 20 years, consistently meeting the highest standards of safety, excellence, and patient care.

Why Your Surgery Facility Matters

The American Society of Plastic Surgeons requires every member surgeon to operate in a facility accredited by an approved national organization. The reason is in the data: board-certified plastic surgery performed in accredited ambulatory facilities carries a serious complication rate of less than 0.5% and a mortality rate of less than 1 in 57,000.

Dr. Ralph R. Garramone, M.D., FACS, has built his Fort Myers practice around that standard since 2000, and Dr. Nick Garcia performs his cases in the same accredited environment.

We Are a Fully QUAD A-Accredited Surgical Facility

Garramone Plastic Surgery has maintained accreditation for 20 years and has earned full accreditation from QUAD A — the organization physicians recognize as the Gold Standard for outpatient surgical oversight. Earning it required passing a comprehensive on-site survey by board-certified physicians and licensed nurses, with 100% compliance across every applicable standard

What Is QUAD A?

QUAD A, formerly AAAASF, the American Association for Accreditation of Ambulatory Surgery Facilities, is a non-profit, physician-founded accreditation organization that has set safety standards for outpatient surgical facilities since 1980. To earn and keep accreditation, a facility must demonstrate excellence in:

Operating room equipment and emergency-response capability
Surgeon credentials, board certification, and hospital privileges
Anesthesia administration by qualified, monitored providers
Infection control, sterilization, and sanitation protocols
Continuous quality improvement and patient safety data reporting

These standards are recognized by the American Society of Plastic Surgeons, the American Board of Cosmetic Surgery, and the International Society of Aesthetic Plastic Surgery.

What This Means for Our Patients

For our Fort Myers and Naples patients, QUAD A accreditation provides independent, third-party verification that our operating room meets the same safety expectations you would find in a hospital surgical setting. Accreditation is also continuous; QUAD A requires ongoing compliance, scheduled re-survey, and patient safety data reporting between visits, something that Garramone Plastic Surgery has maintained for over 20 years.

Our In-House Operating Room, Surgical Suite, and Recovery Rooms

Many cosmetic practices send patients off-site to outpatient centers or hospital ORs on the day of surgery. At Garramone Plastic Surgery, your surgery happens here. Our QUAD A-accredited facility is built directly into our Fort Myers practice and includes:

A fully equipped operating room designed for plastic and cosmetic surgery
A dedicated surgical suite outfitted for the full range of face, breast, body, and men's procedures that Dr. Garramone and Dr. Garcia perform
Private recovery rooms staffed by our own clinical team

Keeping every step under one roof creates continuity. The team that consulted with you, operated on you, and monitored your recovery all work together.