The perks of PERC
“We train surgeons, identify barriers, and build the tools to overcome them” - Dr. Garcia
Trusted Expertise
Dr. Garcia is a highly experienced minimally invasive foot & ankle surgeon who has been at the forefront of the MIS movement
In 2019, Dr. Garcia trained at one of five medical centers nationwide offering patients comprehensive MIS solutions. Over the past six years, he has performed over 500 MIS procedures - cultivating extensive surgical and clinical expertise
In addition to his technical proficiency, Dr. Garcia has successfully implemented MIS peri-operative protocols that maximize reimbursement, expand patient referral bases, and capture significant market share
He has also contributed to the development of MIS instrumentation and technology, holding several related patents. Currently, Dr. Garcia serves as a physician advisor for multiple companies in the medical device and biotechnology industry
Dr. Garcia’s commitment to innovation and instruction makes him a trusted leader in the field of minimally invasive foot surgery.
Pioneering Technology
The steep learning curve associated with minimally invasive foot and ankle surgery has established the need for guiding instrumentation that can lower the threshold for provider entry as well as increase procedure consistency and reproducibility.
At PERC, we draw from our extensive MIS experience and the direct input from our physician clients, to develop enabling technologies, protocols, and procedures that will further the practice of minimally invasive foot and ankle surgery
In 2024, we devised the Bunion-NET™ system to address the gaps in the minimally invasive portfolio for (Tailor’s) Bunionette correction. Our patented approach avoids the pitfalls of free-floating osteotomies and overcomes the limitations of stemmed implants with a seamless “2-stitch” approach
Currently we are developing enabling instrumentation to assist in MIS limb-salvage applications
Turning Clinical Problems into Surgeon-Inspired Solutions
Breakthroughs in surgical innovation happen in the operating room NOT the board room.
We work directly with surgeons to extract functional requirements from even the most rudimentary sketch — translating operative insight into defined design parameters.
Through structured discussion, workflow mapping, and feasibility analysis, your concept evolves from bar-napkin to blueprint
Your concept is transformed into a precision digital model using advanced CAD development. Geometry, tolerances, ergonomics, and mechanical interaction are optimized for real-world application.
Exportable STL and 3MF files are generated for additive fabrication, design iteration, and intellectual property documentation — ensuring your innovation is both testable and defensible.
Engineered files are translated into high-fidelity physical prototypes using precision additive manufacturing. Materials and fabrication parameters are selected to approximate intended performance and durability.
The result is a bench-grade instrument ready for structured evaluation, cadaver lab deployment, and proof-of-concept validation.
Offerings in Minimally Invasive Foot & Ankle Surgery (MIFAS)
Introduction - 4500*
Weekend Seminar in Minimally Invasive Foot & Ankle Surgery (MIFAS) Covering:
Module 1: Introduction to Minimally Invasive Foot and Ankle Surgery
Module 2: Proximal Interphalangeal Joint Fusion for Treatment of Hammertoe Deformity
Module 3: Distal Metatarsal and Digital Osteotomies for Treatment of Mild to Moderate HAV
Module 4: Tailor’s Bunion Correction with Metatarsal Osteotomy
Module 5: Exostectomy, Cheilectomy, and Floating Osteotomies
Module 6: First Metatarsal Cuneiform Arthrodesis for Treatment of Severe HAV
Module 7: Calcanealplasty for Treatment of Haglund’s deformity
Module 8: Hardware Removal, Complications, Billing & Coding Resources
Implementation - 6500*
Weekend Seminar in Minimally Invasive Foot & Ankle Surgery (MIFAS)
~ plus ~
Six 1-on-1 coaching sessions following the provider across the MIS implementation sequence:
Session 1: Patient Selection & Pre-operative Assessment
Session 2: Intra-operative Technique
Session 3: Post-operative Evaluation Week 1#
Session 4: Post-operative Evaluation Week 2#
Session 5: Post-operative Evaluation Week 4#
Session 6: Post-operative Evaluation Week 9#
Session 7: Case Review & Complication Management
Integration - 8500*
Weekend Seminar in Minimally Invasive Foot & Ankle Surgery (MIFAS)
~ plus ~
Six 1-on-1 sessions following the provider across the MIS implementation sequence
~ plus ~
On-site proctoring of provider’s first MIS case
*Pricing covers up to 4 physicians - with a cost of 750 for each additional physician
Regenerative Medicine Training for Providers
Learn how to implement minimally invasive regenerative therapies using Platelet-Rich Plasma (PRP) and Bone Marrow Concentrate (BMC) all performed with minimal overhead and maximal clinical impact.
Weekend Training Seminar Includes:
Didactic Lecture Series on Platelet and Mesenchymal Stem Cell Biophysiology
Office-based PRP protocols for tendinous, ligamentous, and joint injuries
PRP-assisted wound care protocols for chronic ulcers
Peripheral venipuncture training for PRP collection
Overview of insurance-reimbursable CPT codes vs cash-pay offerings
Surgical application of BMC in elective and reconstructive procedures
Centrifugation parameters and considerations
Regulatory guidance and compliance under FDA Section 361 HCT/P
What You'll Gain:
Clinical competence in safe, reproducible, and effective biologic applications
Implementation-ready workflows for both insured and cash-pay patients
A clear pathway to expanded services and improve patient outcomes
Upcoming 2026 events
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Spring Seminar
Location TBA.
Cleveland, OH
04.24.26 8:00-5:00 PM
This intensive weekend course is designed for providers, fellows, and residents interested in developing their skills in minimally invasive foot and ankle surgery.
Participants will engage in didactic lecture, hands-on workshops, and case discussions aimed at developing the knowledge and skills necessary to implement MIS techniques into practice.
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Summer Seminar
Location TBA
Cleveland, OH
08.27.26 8:00-5:00 PM
This intensive weekend course is designed for providers, fellows, and residents interested in developing their skills in minimally invasive foot and ankle surgery.
Participants will engage in didactic lecture, hands-on workshops, and case discussions aimed at developing the knowledge and skills necessary to implement MIS techniques into practice.
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Winter Seminar
Location TBA
Cleveland, OH
01.25.27 8:00-5:00 PM
This intensive weekend course is designed for providers, fellows, and residents interested in developing their skills in minimally invasive foot and ankle surgery.
Participants will engage in didactic lecture, hands-on workshops, and case discussions aimed at developing the knowledge and skills necessary to implement MIS techniques into practice.
Contact Us
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