American Board of Surgery-certified general surgeon Bret Langenberg, DO, owns Pacific Coast Surgical Group at 4033 Third Avenue, Suite 204 in Hillcrest. Langenberg -- Midwestern University Chicago College of Osteopathic Medicine DO 1998, general surgery internship and residency at Naval Medical Center San Diego through 2005 -- performs laparoscopic and single-site robotic procedures for gallbladder disease, hernia repair, and soft-tissue tumor excision, with complex multi-surgeon cases co-scheduled through Surgical Specialists Of San Diego. The practice is affiliated with Scripps Mercy Hospital San Diego, Scripps Mercy Chula Vista, and Scripps Memorial La Jolla, with most outpatient cases performed through the Scripps network. Procedure mix skews toward inguinal, ventral, umbilical, and hiatal hernia repair (including robotic-assisted), cholecystectomy, hemorrhoidectomy, and excision of lipomas and soft-tissue lesions. Post-operative recovery for hernia and abdominal-wall patients is supported by core-stabilization and return-to-activity protocols at Spine & Sport Physical Therapy - Hillcrest, 5th Ave. a few blocks away. Robotic single-site cholecystectomy -- one navel incision, full gallbladder removal, minimal visible scarring -- is the most technically demanding procedure on the regular schedule and requires dedicated robotic platform time.