Contact Us  |  Locations

Rogue Clinic

Single Visit. High Quality. Fair Price. 


What do successful companies like Uber™, Amazon™, and Airbnb™ have in common? They directly connect buyers and consumers to cut out the middleman and to maximize customer value.

The Rogue Clinic at Graham Plastic Surgery follows the same model. By cutting out the extra hospital and insurance fees in hand, cyst, lipoma, and skin surgeries we are able to provide honest, simple, and affordable cash pricing for basic surgical procedures. Our pricing can be found here. These procedures are all safely performed in our state-of-the-art surgical suites by our highly trained Plastic Surgeon, Dr. David Graham. Located in Rochester, NY, we also serve patients who travel from Buffalo and Syracuse for our high value services.

Check out our Rogue Clinic Cyst Removal Video on Youtube.

Why the Rogue Clinic Works

The Rogue Clinic works by maximizing clinical efficiency. By optimizing our workflow we are able to increase the number of procedures per hour, which reduces prices. By also offering cash pricing we are able to cut out the administrative overhead involved with coding and billing insurance. This allows us to further lower our price to patients. Patients spend less money while we remain profitable. Lastly, because we are not going through insurance we don’t need a separate visit before we can get insurance approval. We can do everything in just one visit.

hand surgery rochester ny

Advantages of The Rogue Clinic

  • More Convenient
    • Single Visit Surgery. Most practices often require at least 2 visits: One visit to establish care and request surgical approval, and a second visit for the actual surgery. We only need one visit. No need to complicate things.
    • Drive Yourself. As there is no general anesthesia, patients can drive themselves to and from the appointment.
    • No Starving. No need to limit eating or drinking after midnight, as there is no general anesthesia. Eat a full breakfast and have your coffee.
    • No Follow Up Required. We use absorbable sutures so there is no need for follow up. We will always be glad to see you, but extra visits are not required.
  • Lower Price
    • Greater Than 50% Savings. Remember, with an insurance deductible you are paying out of pocket for this care anyway; you might as well save the money.  You will typically pay at least 50% more for the same procedures if you go through your insurance.
  • Less Pain
    • Smaller Needles. Office Based Surgery is actually less painful than that performed at a surgery center. The needle we use to numb the surgical area is much smaller than the large one they use to start an IV at the hospital or surgery center. As a result, you have much less overall pain. Every patient comments that our surgery is “less painful than going to the dentist”.
  • Less Risk
    • “The Safest Anesthesia is No Anesthesia”. No need to go to sleep means there is no risk of anesthesia complication. We only use local anesthesia, like that used in ER’s and Dentists offices.
    • Lower Infection Risk. Multiple studies have shown that office-based surgeries have lower infection risks than both hospitals and surgery centers.
    • No Need for Preop Testing. Because office-based surgery is so low risk patients do not need any preoperative labs or EKG’s.
  • More Green
    • 90% Less Medical Waste. Studies have shown that office-based surgery creates 1/10th the medical waste as hospital or surgery center based surgery. You get to save the planet at the same time as saving money.

Is Office Based Surgery as Safe as a Surgery Center or Hospital?

Office Based Surgery at Graham Plastic Surgery is much safer. All surgeries are performed by Dr. David Graham, a Board Certified Plastic Surgeon, who has over 15 years of surgical experience, and has performed over 20,000 procedures. He is triple residency trained in General Surgery, Plastic Surgery, and Hand Surgery.

We perform our surgeries in our state of the art surgical suites. Our office is located in the Rochester, NY area,  which meets the highest standards in equipment and sterility. Studies even show that office-based surgery has lower infection rates than both surgery center and hospital-based surgery. This is because at our surgical suite you don’t expose yourself to the super bacteria found at hospitals.

All surgeries are performed using local anesthesia, which is less painful than hospital or surgery center based surgery, gets rid of the need for fasting, and allows patients to drive to and from their appointment. Local anesthesia is also safer. “ The safest anesthesia is no anesthesia.”

Will my Mass Be Sent to a Pathologist?

Most often the masses will be clearly identified as harmless, and will be disposed of without further investigation. However, if Dr. Graham is suspicious of the mass based on physical exam, or if he is suspicious once it is removed, he will send it to a pathologist for evaluation. Patients will also be given the freedom of choice of sending their tissue to a pathologist for evaluation. However, this may incur additional charges.

If the mass represents a cancer Dr. Graham will be able to either treat the cancer himself or refer you to the appropriate doctor.

Who Are the Best Candidates for Self Pay Surgery?

The best candidates are those individuals with high deductibles, those with HSA/FSA accounts, those without insurance, and those who simply value freedom and want more autonomy when it comes to their healthcare. Other great candidates would be businesses who self fund their health insurance plans.  Talk to your employer and they may even reimburse you. We ultimately all pay for our healthcare; we might as well pay a lower price.

Can I use my HSA/FSA for self pay surgery?

Yes, according to IRS rules you may use your HSA/FSA account to pay for these services.

How much does lipoma removal cost? How much does cyst removal cost?

According to the Kaiser Health Foundation the average cyst removal price or lipoma removal price in the US often exceeds $1000. Our Rogue Clinic prices are much less. You can see Dr. Graham’s pricing here.