NAOCA offers a proven, concierge approach to orthopedic care—refined by clinical expertise and peer insights, and crafted to deliver an unparalleled patient experience and exceptional quality.
We ensure your surgical journey is smooth, personalized, and guided by integrity, with every detail thoughtfully managed.

Welcome to NAOCA, where orthopedic excellence meets personalized care. Our mission is to provide top-tier joint replacement with a focus on quality, comfort, and a tailored experience.

At NAOCA, we believe that less is more. By limiting the number of surgeries we perform each year, we ensure every patient receives the full attention and expertise of our team. This boutique approach reduces fatigue, maintains the highest standards, and provides a truly customized journey for each individual.

Unlike traditional high-volume surgical practices, NAOCA is built on the foundation of selectivity and excellence. Each procedure is a commitment to superior outcomes, shorter recovery times, and a more intimate, supportive patient experience.





Surgery, the way it should be.

Your surgeon isn’t rushing trying to appease insurance companies. They take the time to know you, answer your questions, and guide your journey, the way medicine should be.

At NAOCA, each surgeon is handpicked for exceptional skill, unwavering ethics, and a deeply patient-centered approach. Instead of just any available surgeon, you’ll have the right expert dedicated to your unique needs.

From your first consultation all the way through recovery, NAOCA ensures every detail is seamlessly managed. We handle everything—surgical planning, recovery support, and all the logistics—so you can focus solely on healing.
What began as a single-surgeon boutique practice, TDG Concierge, has now evolved into NAOCA—a growing network of thoroughly vetted, highly skilled orthopedic surgeons who share a commitment to exceptional patient care. Our mission is clear: to bring a more human touch back to medicine while scaling a model of excellence one surgery at a time.
“I’m investing in myself…this is your body, the only one you have, you may as well get the best care that you possibly can… it was the best thing that I could have done for myself.”
“The personalized care and expertise completely transformed my life. I’m doing things I never thought I could just weeks ago.”