How We Work

The greatest thing I can offer a patient isn't just a perfectly executed surgery — though I pursue that relentlessly. It's the feeling that someone truly has them. From the first phone call to the moment they're back doing what they love, I want every patient to feel cared for in a way they never expected from a medical practice. That runs deep in me: long days in my family's restaurant, where hospitality wasn't a policy but a promise; my Greek heritage, where welcoming someone means giving them your very best, without reservation. It's what drives me every day I walk into the office.For years I ran one of the busiest hip and knee replacement practices in the country, more than 1,100 surgeries a year, and I'm proud of every one. I took great care of people within the boundaries of their insurance. But one truth became impossible to ignore: within Medicare, the rules governing what I'm allowed to do - how much time I can give, how my team is built, what care is permitted to look like — are simply too restrictive for the care I believe patients deserve.

Steven is a competitive cyclist and Sharon has been practicing yoga for 14 years. They both received minimally-invasive robotic-enabled total knee replacements with Dr. Vasili Karas. Steven and Sharon share their experience including what helped make their decision to see Dr. Karas, and how they were able to resume activities after surgery. Dr. Karas discusses the patient experience, including consultation, decision, and surgical planning process including personalizing Steven and Sharon’s surgeries for their activities.

Everyone is welcome in my practice, and every journey starts the same way: a new patient visit. It doesn't matter what insurance you have — Medicare, private insurance, or anything else — come in, sit down with me, and let's talk about your hip or knee and what you want your life to look like. That visit is billed through your insurance.

If you have commercial insurance, the entire concierge experience is billed through your insurance from top to bottom, with no additional surgical fee: your visits, non-operative care, your surgery, your recovery, all of it. Same surgeon, same team, and same unreasonably high standard of care.

If Medicare is your coverage, here's what I want you to understand clearly: your Medicare benefits continue to work for you every step of the way. Your hospital or surgery center, your anesthesia, your implant, your labs and imaging, your physical therapy, your medications, and even non-operative care — all of it is billed to and covered by Medicare exactly as it always has been.

The one exception is the professional fee for your surgeon and surgical team. The level of surgical expertise, technology, and personal care we deliver — robotic-enabled minimally invasive surgery, personalized planning, direct access to your surgeon, and a team built around you — goes above and beyond what is traditionally available in medicine. Because it goes above and beyond, it also goes above and beyond what Medicare covers for the surgical team. That portion is a single, transparent, flat fee: no surprises, no hidden costs, and my team will walk you through exactly how it works and how to make it work for you.

And if, after we talk, you decide a different direction is right for you, I will personally connect you with one of my trusted partners, with a warm, direct handoff, so you are cared for no matter what you choose. You will never leave my office without a plan.

I want your experience with our practice to be unlike anything you've encountered in medicine. You've trusted me with something deeply personal — your health, your mobility, your life. I don't take that lightly, and I never will. 

Access & Communication

• Unrushed, scheduled visits with Dr. Karas: never handed-off, never rushed
• One-on-one communication with Dr. Karas: personally, before and after surgery
• Direct 24/7 access to the team: no call centers, no answering services
• Best-fit scheduling: appointment and surgical dates built around your life
• On-time appointments: little or no waiting

Preparation & Optimization

• Preoperative teaching consultation: one-on-one with Dr. Karas's staff
• Preoperative optimization visit: coordinated with our pre-surgical primary care team
• Full logistics management: coordinating with your physicians, scheduling, paperwork, and benefits handled on your behalf
• Nutrition and supplement program: pre- and post-operative bundle curated for recovery
• Informational guidance throughout: you always know what comes next

Surgery Day & Recovery

• Medications delivered to your surgery location: on the day of your procedure
• Personal recovery kickoff: a guided journey home with full review of home safety and discharge instructions
• Close personal follow-up: from Dr. Karas and his team through every phase of recovery

For Patients Traveling to Us

• Full travel concierge services
• Post-operative hotel visit
• Local coordination and care hand-off