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The Journal

Considered writing on the work we do.

The Journal is where we take time to write carefully about topics that matter to our patients and to our craft — anesthesia, technique, perioperative safety, the affiliated model, and the choices behind the standard. Written by the people who do this work. Not marketing.

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Featured · The NCSS Standard

What makes NCSS special.

'What makes you special' is a question every practice's marketing eventually answers. Ours mostly hasn't. Here it is: not one thing, mostly not new, and not more expensive — it's the combination we kept, and the small stuff we sweat.

H. Rand Scott, MD · Medical Director · December 2026 · 8 min read

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More from the Journal

Also worth your time.

Recent pieces on how we operate and how we think about the work.

Safety

One more layer: UV-C sanitation at NCSS.

How we go beyond standard cleaning — UV-C germicidal light in every room, every day, and why our infection rate stays well below the national benchmark.

Newport Center for Special Surgery · September 2026 · 6 min read

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The NCSS Standard

The Rest-Assure Standard: what physician anesthesia means.

Most surgery centers deliver anesthesia through nurse anesthetists. We chose not to. The difference — and why it mattered enough for us to build the whole facility around it.

H. Rand Scott, MD · September 2026 · 6 min read

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Care & Technique

On smoking and surgery: an honest position.

Every surgeon at NCSS handles smoking status differently. The range of positions is itself the point — and why we don't offer a single site-wide policy that pretends the question is simple.

H. Rand Scott, MD · October 2026 · 7 min read

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Privacy & Practice

Why NCSS does not use a patient portal.

Patient portals became standard equipment in the 2010s. NCSS chose not to adopt one — for reasons of privacy, attack surface, and appropriate scale for a small surgical facility.

H. Rand Scott, MD · November 2026 · 7 min read

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In the Queue

What's coming.

The Journal publishes when we have something worth saying, not on a marketing calendar. What's currently being written or considered:

Planned · The Affiliated Model

Nine independent surgeons, one operating standard.

What it means to be an affiliated-surgeon facility — and why our roster of nine surgeons choose to bring their patients here rather than to hospitals or other outpatient centers.

Planned · Technique History

The California Breast Lift®: a technique history.

How a registered technique developed at NCSS in the 2000s changed the way vertical mastopexy is done — and what it took to get there.

Where to Begin

The right starting point is a conversation.

Every scheduled surgical patient is offered a free Rest-Assure pre-operative consultation with Dr. Rand Scott personally — medical history, medication planning, and discharge coordination before the day of surgery.

(949) 644-8182

Monday–Thursday, 8am–3pm · Friday by appointment only.

Elsewhere on This Site

Elsewhere worth knowing.

Perioperative Care

The perioperative standard.

How we prepare patients before surgery, manage them through it, and coordinate their recovery after — the part of surgical care most facilities treat as an afterthought.

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Our Surgeons

Nine affiliated surgeons.

Independent physicians who bring their patients to NCSS because of the operating standard — not because they work for us.

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Patient Resources

Before and after your procedure.

The patient journey, preparation guides, day-of expectations, and forms — everything a patient needs before they arrive.

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