Tri-State Surgery

Heal Today. Thrive Tomorrow.

Tri-State Surgery is staffed with highly skilled nurses, technicians, and anesthesia personnel that work seamlessly with our expert and experienced surgeons. All of our surgeons are board-certified and diverse in their fields, specializing in a wide range of surgical procedures including gastric, colon and endoscopic surgery, urology, breast and surgical oncology, podiatry, and robotic-assisted surgery. Our goal is to make sure our community has access to cutting-edge surgical care where they are most comfortable: close to their home and loved ones.


We perform thousands of operations each year, from minimally invasive outpatient procedures to laparoscopic  and inpatient surgeries. At Tri-State Surgery, we serve a broad range of patients including infants, children, adolescents, and adults. If you end up needing to seek surgical care, you can rest assured that our compassionate, personalized treatments, and whole-person approach will help you feel cared for every step of the way.

Surgical Specialties

What to expect when you have
surgery at Tri-State?

Perioperative Services, offers a wide range of outpatient care, including minor surgery, treatments, and medication administration. These services provide less intensive levels of care in the least amount of time, without sacrificing quality of care or outcome.
An outpatient surgery is a planned procedure, not an emergency situation. It does not normally require an overnight stay in the hospital, barring complications or continued health needs. The Pre-Operative Clinic schedules appointments to individualize each patient’s surgery preparation.

During the Pre-Operative visit, the surgical patient will speak with a nurse regarding health status, previous procedures, medications and herbal supplements you take, and any special instructions for the day of the surgery. You may also be seen by a pharmacist to review your medication regime. The patient’s health information will be reviewed with anesthesia, but in most cases the patient will not see the anesthesia provider until the day of surgery.

After the nurse interview, any tests and patient consultations ordered by your surgeon will be completed. These tests might include blood tests with the laboratory, chest x-rays and electrocardiogram. These tests are instrumental in making sure you receive individualized, quality care.

The Pre-Operative Clinic nurse will also let you know when you need to be at the hospital on the day of the surgery. Normally, this will be one to two hours prior to the scheduled surgery time. The Pre-Operative Clinic is located on the southeast side of the hospital within Perioperative Services, at entrance door #17.
If you have any questions regarding your visit or planned surgery, please call the Tri-State Pre-Operative Clinic at 509.758.4670.

When you leave the hospital, you should expect to be awake enough to go home, but plan to continue resting. When you have outpatient surgery, you go home to recover and will probably not feel up to doing much for the rest of the day or longer, depending on the type of procedure.

Please contact a nurse after your discharge to discuss any questions or concerns you may have. Perioperative nurses are available for questions Monday through Friday starting at 6 a.m. Telephone numbers will be included in your discharge instruction sheets.

Post-Operative and home instructions are provided with each patient’s needs in mind. Your doctor will specify any follow-up care you may need.

Tri-State Surgery

1221 Highland Avenue
Clarkston, WA 99403

Get Well, Quicker with the
Da Vinci Surgical System

No Referral Needed! Call Today 509.769.2024

We have combined our expert surgical team and a new advanced state-of-the-art robot to heal you today, so you can begin to thrive tomorrow!

From gallbladder and acid reflux surgeries to hernia repair and prostatectomies, the precision of the Da Vinci robot means that you will have less pain, smaller scars, and quicker recovery time than you would with open surgery.

Our General Surgeon Using the Da Vinci Robot

"Being able to help, or fix people, and seeing the end result is what I love most about being a surgeon."

Eric L. Thomas, MD, FACS, ROBOTIC SURGERY SPECIALIST, 15+ Years of Experience
Dr. Thomas is performing surgeries with our new Da Vinci Surgical System!

Our Urologist Using the Da Vinci Robot

"The most rewarding part about being a physician is the relationships I develop with my patients."

Kenneth Berger, MD, UROLOGIST, 20+ Years of Experience
Dr. Berger is performing surgeries with our new Da Vinci Surgical System!

Meet our Additional General Surgeons!

"I truly love what I do. I’ve given most of my life to it. If I had 70 more years, I would give 70 more years to it."

LeRoy Smith, MD, GENERAL SURGEON, 35+ Years of Experience

"I find it rewarding to apply my technical abilities in a beneficial and impactful way in the lives of others. "

Byron Wright, MD, FACS, BREAST & SURGICAL ONCOLOGIST, 15+ Years of Experience
Learn about our new breast and surgical oncology program!

Why choose Tri-State for Surgery?

Tri-State General Surgery provides the diagnosis, treatment, and postoperative care for a wide range of surgical procedures. Tri-State General Surgery’s board-certified and highly trained surgeons are committed to providing the patient with the best quality surgical care. From a pre-operative appointment to post-op care, Tri-State General Surgery’s team of surgeons, nurses, and staff will make sure patients feel prepared and comfortable.


  • Amputations of limbs at all levels
  • Appendectomy
  • Benign and malignant tumors
  • Breast surgery including mastectomy and male breasts for benign and malignant 
  • Colon and rectal surgery
  • Colonoscopy and upper endoscopy
  • Diagnostic laparoscopy
  • Endocrine system
  • Gallbladder and bile duct surgery
  • Gastric (stomach) resections for cancer and perforations
  • Hernia (inguinal, umbilical, all incisional, and Spigelian)
  • Lymph node removal
  • Mediport placement
  • Skin and soft tissue, including cancers
  • Splenectomy
  • Surgical oncology
  • Thyroid and parathyroid surgery

Tri-State General Surgery

1119 Highland Avenue, Suite 4
Clarkston, WA 99403
Hours: Monday – Thursday, 8:00am – 12:00pm & 1:00pm – 4:30pm
Friday, 8:00am – 12:00pm