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Exclusive. Exceptional. Surgical.
Private surgical care for anal and perineal restoration. Precision, discretion, and aesthetic excellence.Altus Surgical is a private surgical program dedicated to advanced anal and perineal restoration. Designed for clients who expect uncompromising precision, discretion, and aesthetic-minded results, Altus offers a limited number of highly curated cases each month.
ABOUT ALTUS SURGICAL
Altus Surgical was created for clients who need more than routine care. Led by board-certified colorectal surgeon Rodney Jon Kratz, MD, FASCRS, the program focuses on restoring comfort, confidence, and function while paying meticulous attention to appearance and long-term outcomes.
Every plan is tailored, every case is reviewed personally, and every detail—from consultation through healing—is designed around privacy, precision, and results.
Board Certified · Fellowship Trained · FASCRS

Altus may be appropriate if you:
Have had prior anal or perineal surgery and are unhappy with function or appearance
Experience pain, scarring, deformity, or tissue changes after childbirth, weight loss, procedures, or trauma
Are a creator, performer, or public-facing professional who requires a premium level of discretion and outcome
Have been told 'nothing more can be done' but still feel something is not right
Want a single, comprehensive plan to address comfort, function, and aesthetics together
If you see yourself in one or more of these situations, you can request a private evaluation below.
Comprehensive reconstruction and refinement designed to address fissures, scarring, deformity, or prior surgical changes while prioritizing function and continence.
Focused on contour, symmetry, and tissue quality of the anal and perineal region, integrating surgical correction with aesthetic-minded planning.
Tailored to the unique changes after childbirth, with attention to comfort, hygiene, and confidence during intimacy.
For clients with prior operations, fistulas, or complications who require an experienced colorectal surgeon to re-plan and restore.
When appropriate, cases may include staged treatment with energy-based devices after healing to optimize texture, scars, pigment, and overall appearance.
Final recommendations are made only after a full evaluation.
Submit a brief, secure questionnaire and photos. Your information is reviewed personally and kept strictly confidential.
Qualified applicants are invited for a detailed consultation—either in person or virtually—to review your goals, history, and options. A consultation fee applies and may be credited toward surgery if you proceed.
You receive a clear, tailored surgical plan focused on restoring function and refining appearance, with transparent pricing and expected timelines.
Your procedure is performed by Dr. Kratz in a controlled, hospital-grade setting with a focus on safety, precision, and comfort.
You receive structured follow-up, direct access to the care team for concerns, and—when appropriate—planned refinement treatments after full healing.
Care is led by a fellowship-trained, board-certified colorectal surgeon with decades of focused experience in anal and rectal surgery.
Comfort, continence, and long-term health are always prioritized. Aesthetics are enhanced within a safe, thoughtful surgical plan.
Altus limits the number of cases accepted to maintain time, focus, and privacy for each client.
Pricing, planning, and expectations are discussed clearly. Most cases are out-of-network or cash pay, allowing decisions to be driven by what is best for you, not by insurance.
No. You may request a private evaluation directly through this page. Some clients are referred by other surgeons or therapists, but a referral is not required.
Many Altus Surgical cases are partially or fully out-of-network or cash pay, depending on the nature of the problem and your benefits. When appropriate, our team can help you understand possible out-of-network coverage.
Altus Surgical is based within the practice of Precision Proctology in the greater Seattle area. Exact location and logistics are shared with accepted applicants.
Yes. Your application, photos, and medical information are stored securely and reviewed only by the clinical team involved in your care.
Because every case is unique and may involve different levels of complexity, pricing is discussed after your consultation. Many clients choose comprehensive packages rather than single procedures.
Altus Surgical accepts a limited number of new clients. To be considered, please complete the secure form below. Our team will review your information and contact you with next steps.