Office Procedures


Excisions for “lumps and bumps” are minor surgical procedures for lesions found in or just under the skin (subdermal). Warts, moles, cysts or benign fatty growths (lipomas) can appear anywhere on the body. Pilonidal (tailbone) cysts sometimes require surgical drainage or removal. These types of surgeries, depending on the size and location of the lesion, can often be done in the office.

Skin Cancer

Patients diagnosed with skin cancer are often referred to a general surgeon for removal of the cancer, depending on the size, type and location of the lesion. Melanomas, the most aggressive form of skin cancer, require not only the surgical excision of the cancer, but also a margin of normal skin around the lesion. Depending on the depth and thickness of the melanoma, an outpatient surgery may be performed in the operating room. In addition to removing the cancerous lesion, a lymph node biopsy may be necessary.


Veins are thin-walled fragile blood vessels with one-way valves in them. If there is too much back pressure in the venous system, the vessels become over distended, with damage to the valves within them. This can lead to poor circulation due to impaired drainage of blood back toward the heart. For most patients this is simply a cosmetic concern, with unsightly bulging veins and ankle swelling. If the problem is severe enough that skin damage occurs, however, varicose veins can be accompanied by burning, itching, pain, or skin ulcers. Treatment ranges from leg elevation and the wearing of compression hose up to surgical closure of damaged veins. Surgical treatment can involve removing the vein (phlebectomy), stripping the vein, or using heat to close the vein (ablation). At SilverBow Surgical Associates, we use a minimally invasive ablation treatment called the VNUS Closure procedure that can be performed in our Butte location. A doppler study of the veinous system is required before a patient is considered for any surgical procedure.


Vasectomy is a male sterilization surgery and is the most secure form of birth control. A small incision is made on each side of the scrotum so that a small portion of the vas deferens can be removed. The vas deferens is the duct that allows passage of the sperm cells out of the testicles. A semen analysis is done six weeks after surgery and prior to any unprotected sex.

Call our office to schedule an appointment (406) 723-0043