Surgery Center of Nacogdoches 
Thursday, 30 May 2002 

(936) 568-3595
Hours: Monday - Friday, 6AM - 5PM

Click here to see a photo of The Surgery Center staff


High quality patient care, convenience, and controlling cost are the hallmarks of the Surgery Center of Nacogdoches.  The Surgery Center is designed to be a quality alternative to hospital-based surgery.  Patients, who decide to have surgery in the Surgery Center arrive on the day of the operation, have the surgery in the operating room, recover under the care of our nursing staff and should go home the same day.  Our medical staff and personnel are trained and experienced in outpatient surgical services.  Advanced medical technology, equipment and experienced friendly staff contribute to a pleasant surgical experience.


The Surgery Center of Nacogdoches is licensed by the Texas State Department of Health.  In addition, we are Medicare-certified. The Surgery Center also participates in a voluntary accreditation process conducted by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO).  The JCAHO survey in 2004 resulted in approval and is a testament to the teamwork and quality of care provided in the Surgery Center.


A hallmark of the Surgery Center is patient satisfaction.  Questionnaires, follow-up phone calls, and a Tenet Survey measure patient satisfaction.  All feedback is shared with the staff to help consistently improve our patient care.


The Surgery Center performs approximately 4,200 operative procedures per year.  There are four well equipped operating rooms and five procedure rooms.  Many surgeries in the past that required days or weeks in the hospital such as gallbladder or hemorrhoid removal, shoulder surgery and some back surgeries may be done in one day.  Some of the most frequent surgical procedures are in pain management; ear, nose, and throat procedures; and gastrointestinal procedures.  Other Surgery Center procedures involve gynecology (women’s services), oral (mouth) surgery, orthopedics (bone & joint) and urology (bladder & kidneys).  Technologies added to the Surgery Center in the recent past include GERD (gastroesophageal reflux disease) testing, hemorrhoidectomy and Topaz (a new arthroscopic shoulder procedure).  The Surgery Center accepts Medicare, most major insurance plans and self-pay customers. 


The Surgery Center serves patients of all ages.  We are open Monday through Friday from 6:00 AM to 5:00 PM.  We are located at the intersection of Loop 224 and Highway 59 North next to Nacogdoches Medical Center.  For more information on the Surgery Center, please call (936) 568-3595.




Pain Management at The Surgery Center of Nacogdoches


The mission of The Surgery Center of Nacogdoches is to deliver ambulatory surgical care to our patients in an efficient, caring, timely and conservative manner and to assess and manage effectively any pain associated with this ambulatory care.  We believe every patient has the right to expect a rapid and effective response to a report of pain.


Acute pain is the symptom of a larger disease process, and is usually nocioceptive in nature.  This means that a noxious (unpleasant) event stimulates the intact nervous system to produce the sensation of pain.  An example is a surgical incision.


Examples of pain medications used according to severity are listed in the following table.

Analgesic (pain relief) Choice


Pain severity: Mild

(pain score 1-3)


Analgesic (pain relief) choice: Acetaminophen, nonsteroidal anti-inflammatory agents


Examples: Tylenol®, Ibuprofen (Motrin®), Naproxen (Naprosyn®)


Pain severity: Moderate

(pain score 4-6)


Analgesic (pain relief) choice: IV Ketorolac, oral acetaminophen/opioids combinations


Examples: Toradol®, Vicodin®, Tylox®, Tylenol® with Codeine #3


Pain severity: Severe

(pain score 7-10)


Analgesic (pain relief) choice: Opioid

Examples: Morphine, hydromorphone (Dilaudid®), Fentanyl


How to rate your pain


The pain scales used at the Surgery Center as based on a score or ranking of the intensity of your pain according to a numeric score of 0 to 10.  Zero (0) is considered no pain and 10 is the worse possible pain.  Another scale that may be used is the Wong-Baker Faces Pain Rating Scale.  The scales used are shown below.

Color Scale

This scale is a colored stripe in which color gradually changes from white (no pain) through shades of pink to dark red (worst possible pain). Ask the patient to point to the area on the scale that shows their level of pain. To obtain a number for documentation use the scale parallel to the color stripe to find the number corresponding to the area where the patient points.

Click here to view the Pain Rating Color Scale 

Wong-Baker FACES Pain Rating Scale

 Click here to view the Wong-Baker Pain Rating Scale

From Wong DL, Hockenberry-Eaton M, Wilson D, Winkelstein ML, Ahmann E, DiVito-Thomas PA: Whaley and Wong’s Nursing Care of Infants and Children, ed. 6, St. Louis, 1999, Mosby, p. 1153.

This scale can be used with young children (sometimes as young as 3 years of age). It also works well for many older children and adults as well as for those who speak a different language. Explain that each face represents a person who may have no pain, some pain, or as much pain as imaginable. Point to the appropriate face and say:

(0) "This face is happy and does not hurt at all."
(2) "This face hurts just a little bit."
(4) "This face hurts a little more."
(6) "This face hurts even more."
(8) "This face hurts a whole lot."
(10) "This face hurts as much as you can imagine, but you don't have to be crying to feel this bad."

Ask the patient to choose the face that best matches how she or he feels or how much they hurt.


This is a behavior scale that has been tested with children age 3 months to 7 years. Each of the five categories (Faces, Legs, Activity, Cry, Consolability) is scored from 0-2 and the scores are added to get a total from 0-10. Behavioral pain scores need to be considered within the context of the child's psychological status, anxiety and other environment factors.


No particular expression or smile

Occasional grimace or frown, withdrawn disinterested

Frequent to constant frown, clenched jaw, quivering chin


Normal position or relaxed

Uneasy, restless, tense

Kicking, or legs drawn up


Lying quietly, normal position, moves easily

Squirming, shifting back and forth, tense

Arched, rigid, or jerking


No cry
(awake or asleep)

Moans or whimpers, occasional complaint

Crying steadily, screams or sobs, frequent complaints


Content, relaxed

Reassured by occasional touching, hugging or "talking to, distractible

Difficult to console or comfort

The FLACC is a behavior pain assessment scale
©University of
Michigan Health System (can be reproduced for clinical or research use)