Dr. Michael Graham Roche-Nagle – General Surgeon | Toronto, ON

Dr. Michael Graham Roche-Nagle is a skilled General Surgeon, specializing in a comprehensive range of surgical treatments. Practicing at a surgical clinic in Toronto and performing surgeries at University Health Network Hospital in Toronto, ON, he is a respected member of the surgical community. He adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO). Dr. Roche-Nagle has expertise in diagnosing and managing conditions affecting the abdomen, digestive system, breast, skin, and endocrine system, among others. He performs both elective and emergency surgeries, often utilizing minimally invasive techniques to enhance patient recovery. His practice is dedicated to providing high-quality, patient-focused care, from initial consultation through to post-operative recovery, utilizing modern surgical techniques and a collaborative approach.

He graduated with a Medical Degree from the Royal College of Surgeons in Ireland School of Medicine (Ireland) and has over 15 years of experience as a General Surgeon since 2009. Dr. Roche-Nagle is recognized as a CPSO Recognized Specialist by the College of Physicians and Surgeons of Ontario (CPSO). His extensive training and certification underscore his commitment to surgical excellence and ongoing professional development.

Dr. Roche-Nagle’s professional philosophy centers on providing safe, effective, and evidence-based surgical care. He emphasizes a patient-centered approach, ensuring clear communication and shared decision-making. Whenever appropriate, he utilizes minimally invasive techniques to facilitate quicker recovery and collaborates with multidisciplinary teams for comprehensive patient management. Dedicated to ongoing learning, he strives to deliver the highest standards of surgical care to patients in Toronto. He provides surgical consultations and care in English.

Dr. Michael Roche-Nagle provides surgical treatment for a diverse range of conditions, including:

Abdominal and Digestive System Conditions

Dr. Roche-Nagle addresses conditions requiring surgical intervention for diagnosis or treatment of the gastrointestinal tract and related abdominal organs.

• Diverticulitis / Diverticular Disease: Inflammation or infection in one or more small pouches (diverticula) in the digestive tract, usually the colon.
• Appendicitis: A common cause of acute abdominal pain, especially in the right lower quadrant.

Cancers and Tumors (Surgical Oncology)

Dr. Roche-Nagle addresses surgical removal of malignant tumors and often nearby lymph nodes, as a key component of cancer therapy.

• Skin Cancers (e.g., Melanoma, Squamous Cell Carcinoma, Basal Cell Carcinoma): Surgical excision of malignant skin lesions with appropriate margins.
• Colorectal Cancer (Colon and Rectal Cancer): Surgical resection of tumors in the colon or rectum, often the primary treatment for localized disease.
• Soft Tissue Sarcomas: Often managed in collaboration with sarcoma specialists and oncologists.

This list is not exhaustive. For a comprehensive evaluation and to discuss whether surgery is appropriate for your specific condition, a consultation with Dr. Michael Roche-Nagle is necessary.

• Thyroidectomy / Parathyroidectomy: Surgical removal of one or more parathyroid glands (typically for hyperparathyroidism).
• Skin Lesion Excision and Soft Tissue Mass Removal: Procedures often performed under local anesthesia with attention to cosmetic closure.
• Pre-operative Assessment and Planning: Optimizing patient health before elective surgical procedures.
• Laparoscopic Surgery (Minimally Invasive Surgery): Advanced surgical techniques requiring specialized training and equipment.
• Upper GI Endoscopy (Gastroscopy / EGD): Diagnostic and sometimes therapeutic examination of the esophagus, stomach, and duodenum using a flexible camera.
• Colonoscopy: Diagnostic and screening examination of the entire colon (large intestine) using a flexible camera.

Note: This list provides an overview of common surgical areas. Specific procedures and treatment plans are determined on an individual basis after consultation with Dr. Roche-Nagle.

All surgical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of Ontario (CPSO) and relevant Canadian Association of General Surgeons (CAGS) and relevant surgical best practices. A referral from a physician is typically required for consultation.

Dr. Roche-Nagle’s primary practice is located at a dedicated surgical clinic in Toronto’s Bay Street Corridor (Discovery District) neighborhood. The clinic is conveniently situated near the Distillery District with accessible transportation options including TTC Subway, Streetcar, and Bus routes. Surgical procedures are typically performed at the University Health Network Hospital, which is equipped with modern facilities. Both the clinic and hospital are wheelchair accessible and designed for patient comfort and privacy. Patients and visitors can generally find parking in hospital-affiliated lots or nearby public parking facilities. The environment is professional, welcoming, and focused on providing a high standard of care for consultations and follow-up surgical procedures.

What does a General Surgeon like Dr. Roche-Nagle do?

Dr. Roche-Nagle, a General Surgeon, is a specialist surgeon who manages a wide variety of common and complex surgical problems. General surgeons are often the primary surgical contact for conditions involving the digestive tract, abdominal organs, hernias, breast diseases, and skin/soft tissue lesions. They are trained in numerous surgical techniques, including minimally invasive (laparoscopic) surgery, and play a critical role in both planned (elective) operations and emergency surgical situations.

Does Dr. Roche-Nagle perform laparoscopic (minimally invasive) surgery?

It's common for General Surgeons such as Dr. Roche-Nagle to offer minimally invasive surgical options, including laparoscopic procedures. This approach can lead to benefits like reduced pain and quicker recovery times for many common surgeries. The suitability of laparoscopic surgery depends on the specific medical condition and individual patient factors, which Dr. Roche-Nagle would evaluate and discuss with you during your consultation.

Do General Surgeons like Dr. Roche-Nagle ever specialize further?

Yes, while General Surgery provides a broad foundation, many General Surgeons like Dr. Roche-Nagle may develop particular areas of interest or pursue additional fellowship training in subspecialties. These can include areas like colorectal surgery, breast surgery, endocrine surgery, surgical oncology (cancer surgery), trauma/critical care surgery, vascular surgery, or pediatric surgery. If Dr. Roche-Nagle has such a focus, it will be part of the expertise him brings to patient care. General surgeons perform a wide variety of common surgical procedures and can manage many different types of conditions.

Do I always need surgery if I have a consultation with Dr. Roche-Nagle?

A surgical consultation with Dr. Roche-Nagle doesn't automatically mean you will have surgery. The purpose of the visit is for Dr. Roche-Nagle to assess your condition thoroughly, review any tests, and discuss whether surgery is the most suitable treatment, or if alternative non-operative options should be considered. The final decision is typically made collaboratively between you and Dr. Roche-Nagle after weighing the potential risks and benefits.

What types of surgical procedures does Dr. Roche-Nagle perform?

As a General Surgeon, Dr. Roche-Nagle is skilled in a variety of surgical procedures. Common operations include appendectomies (appendix removal), cholecystectomies (gallbladder removal), hernia repairs, bowel resections (for conditions like cancer or diverticulitis), thyroid and parathyroid surgery, and surgeries for breast conditions. Many of these can be performed using minimally invasive (laparoscopic) techniques, which often lead to quicker recovery. The specific procedures offered depend on Dr. Roche-Nagle's areas of focus within general surgery.

What is the typical recovery time after a general surgical procedure performed by Dr. Roche-Nagle?

The duration of recovery following surgery with Dr. Roche-Nagle is specific to the operation performed and your personal health. Minimally invasive surgeries often have shorter recovery periods than traditional open surgeries. Dr. Roche-Nagle will discuss the expected recovery process, including hospital stay (if any), return to work, and activity restrictions, as part of your pre-operative consultation and post-operative care plan.

200 Elizabeth Street
Toronto, ON M5G 2C4

Clinic Phone: (416) 340-5332 | Clinic Fax: (416) 340-5029

The clinic and affiliated hospital facilities are wheelchair accessible and designed for patient comfort and privacy.

Dr. Roche-Nagle is a licensed General Surgeon regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Regulated Health Professions Act, 1991 and Medicine Act, 1991 in ON. A referral from a family physician or another specialist is generally required for a consultation with Dr. Roche-Nagle for services covered by the provincial health plan (Ontario Health Insurance Plan (OHIP)).

Verify Dr. Roche-Nagle's registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/RocheNagle-Michael-Graham/0242952-87355