Neurosurgery

A Nemours doctor performs pediatric neurosurgery.

Nemours Children’s Health System is recognized for providing advanced and comprehensive fetal and pediatric neurosurgery to unborn babies, newborns, infants, children and adolescents across the country, and around the world. Our pediatric neurosurgeons are renowned for their expertise and skill treating common to complex neurological conditions and diseases whether they are congenital (present at birth) or acquired (related to injury, other pediatric medical conditions and genetic predispositions). At Nemours, our goal is to provide healing and health for your child, and support for your entire family.

 
Read More About Pediatric Neurosurgery at Nemours

Advanced Pediatric Neurosurgery Care For Kids

Nemours’ pediatric neurosurgeons have extensive knowledge about how a child’s brain develops and work to minimize risks to future brain functioning. We perform extremely advanced and precise pediatric neurosurgery procedures for nearly every childhood brain, skull, spinal cord and nervous system condition. Together with a multidisciplinary team of specialists (neurologists, orthopedists, geneticists, urologists, developmental and behavioral experts, radiologists), Nemours provides comprehensive, compassionate care for your child’s physical, cognitive and emotional needs before, during and well after neurosurgery is performed.

Some of the neurosurgical pediatric conditions we treat include:

  • aneurysms (ballooning or widening of an artery)
  • arachnoid cysts (fluid-filled sac inside the head or spine)
  • arteriovenous malformations (abnormal connection between arteries and veins)
  • brachial plexus injuries (spinal cord nerves that signal to the shoulder, arms and hands)
  • brain and spinal cord injury
  • brain and spinal cord tumors
  • carpal tunnel syndrome (pinched wrist nerve)
  • Chiari malformation (when brain tissue extends down into the spinal cord)
  • congenital anomalies of the neck and back (birth defects)
  • craniofacial anomalies (facial and skull bone disorders)
  • craniosynostosis (skull bones fuse together before the brain has stopped growing)
  • dural fistulas (abnormal connection between arteries and veins in the outer layer of the brain)
  • epilepsy (neurological seizure disorder)
  • head, neck and back trauma
  • herniated discs (slipped or ruptured discs between the vertebrae)
  • holoprosencephaly (when forebrain does not divide into cerebral hemispheres in utero (womb)
  • hydrocephalus (increased spinal fluid in the ventricles of the brain)
  • idiopathic intracranial hypertension (increased spinal fluid pressure in the brain)
  • intracranial hemorrhage (bleeding inside the skull)
  • malformations of the head and neck
  • moyamoya disease (blockage of the internal carotid arteries)
  • neurofibromatosis types I and II (nerve tissue tumors)
  • pituitary and pineal gland lesions (craniopharyngiomas, germ cell tumors)
  • positional plagiocephaly (flattened head)
  • schizencephaly (abnormal slits or clefts in the cerebral hemispheres of the brain)
  • scoliosis (spine curvature)
  • spasticity (muscle stiffness and/or involuntary movement)
  • spina bifida (neural tube defect of the spine)
  • Surge-Weber syndrome (marked by vascular birthmark and neurological abnormalities)
  • syringomyelia (cyst in the spinal cord)
  • tethered spinal cord (when the spinal cord is attached to the spinal column)
  • tuberous sclerosis (benign lesions of the nervous system)
  • ulnar tunnel syndrome (compressed nerve located at the pinky side of the hand)
  • vascular anomalies of the head and neck

Renowned Researchers and Neurosurgeons

The neurosurgeons at Nemours are very active in researching neurological conditions in children, and publishing in peer-reviewed medical journals. We’re leading clinical and translational research to find innovative ways to treat pediatric brain tumors and tumors of the central nervous system, as well as neurodevelopmental and musculoskeletal diseases and conditions in children including scoliosis, spina bifida, epilepsy, cerebral palsy and more. Our pediatric neurosurgeons are also studying concussion treatments and developing novel neurosurgical instruments and non-invasive diagnostic technologies.

Learn More About Research at Nemours »

Family-Centered Care at Its Best

At the center of our care are our patients and families. We understand that no one knows your child better than you, so we always take time listen to your concerns and provide personal service and comprehensive care for your child —  and family — through emotional support, education and open communication.

Learn More About Why Families Choose Us »

Nemours Children's Hospital, Orlando


13535 Nemours Parkway
Orlando, FL 32827
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Learn More About This Location »

Clinic Location: Fifth floor

For Appointments: (407) 650-7715
Hours: Monday–Friday, 8 a.m. to 5 p.m.

 
What to Bring
  • photo ID
  • medical and pharmacy insurance cards
  • preferred pharmacy name and phone number
  • names and dosage of all medications, including over-the-counter medication, your child is currently taking
  • guardianship and custody papers, if a legal guardian rather than a parent accompanies your child
 
Forms & Resources
Neurosurgery Forms & Handouts
Resources for Patients & Families

The neurosurgery division of Nemours Children’s Hospital in Orlando includes board-certified pediatric neurosurgeons, nurse practitioners and physician assistants who provide comprehensive, world-class neurosurgical care to children of all ages — even newborns only hours old — in both an inpatient and outpatient specialty care setting. With advanced technologies and expertise, our neurosurgeons, geneticists and radiologists also diagnose and treat babies that are still in the womb.

Neurosurgical Care in Central Florida and the Southeast

At Nemours Children’s Hospital, we offer a wide range of general and specialized pediatric neurosurgical services including evaluation, diagnosis, surgical treatment and ongoing care for babies, children and teens with nearly every pediatric disease, injury and malformation of the skull, brain and spine (central nervous system, or “CNS”), and the peripheral nervous system, or “PNS” (nerves that connect the CNS to the rest of the body).

Our neurosurgeons are nationally and internationally recognized for researching and performing leading-edge, technologically advanced neurosurgical procedures, including minimally invasive techniques (using small incisions and natural openings instead of large, open incisions) to treat all types of pediatric neurological conditions while preserving normal growth and development. Our pediatric neurosurgical programs, some of which are unique to Central Florida and the Southeast, have helped kids from all over the world lead happy, healthy lives.

 
Why Choose Us: Highlights of Care

Families choose us because we’re dedicated to providing a truly family-centered environment, which means the team cares about your family’s physical and emotional wellness, and values your involvement throughout the entire process. We specifically design a treatment plan based on your child’s — and family’s — needs, and it doesn’t end when the surgery is over. We’re with you through recovery, condition management and follow-up for as long as you need us.

Other highlights of our care include:

  • world-class facilities featuring the most advanced diagnostic techniques and equipment available
  • academic medical center means we’re at the leading edge of treating highly complex neurosurgical conditions
  • fully equipped neurosurgery operating rooms
  • innovative surgical techniques that minimize surgery risks, recovery time and pain
  • extensive imaging and navigational equipment for precise instrument guidance
  • customized treatment plans based on research and best practices
  • family-centered care without delay means you have seamless, rapid access to specialists
  • one parent is welcome to the operating room until anesthesia is administered
  • strong, meaningful relationships with community primary care doctors (our division chief was one himself)
 
Pediatric Neurological Conditions We Treat

Neurosurgeons at Nemours Children’s Hospital treat nearly every pediatric neurological condition, including:

  • abnormal head shape and size (craniofacial anomalies, craniosynostosis, positional plagiocephaly, trauma)
  • brachial plexus injuries
  • brain and spinal cord injuries (late effects and complications)
  • brain and spinal cord tumors (gliomas, medulloblastomas)
  • cerebrovascular problems (aneurysms, arteriovenous malformations, dural fistula, intracranial hemorrhage, moyamoya disease, vascular anomalies and malformations of the head and neck)
  • concussion
  • elevated intracranial pressure (hydrocephalus, idiopathic intracranial hypertension/pseudotumor cerebri)
  • epilepsy (comprehensive evaluations, resective procedures, vagal nerve stimulator)
  • low back and neck pain (congenital anomalies, herniated discs, scoliosis with underlying spinal cord pathology, trauma)
  • neurocutaneous syndromes (neurofibromatosis I and II, Sturge-Weber syndrome, tuberous sclerosis)
  • peripheral nerve entrapments (carpal tunnel and ulnar tunnel syndromes)
  • spasticity (baclofen pumps, selective dorsal rhizotomy)
  • spina bifida (classic open defects, closed defects such as lipomas of the spinal cord)
  • structural pathology of the brain, skull, spine and spinal column (arachnoid cyst, Chiari malformation, schizencephaly, holoprosencephaly, masses and tumors, pituitary and pineal lesions, syringomyelia, tethered spinal cord, fat-infiltrated filum terminale)
  • unusual manifestations of the head, neck and back (sacral dimples, hairy patches, vascular lesions)

Expert, Coordinated Care for Your Child’s Neurosurgical Condition

Nemours Children’s Hospital’s neurosurgical team works closely with top pediatric specialists (such as neurologists, general surgeons, orthopedists and urologists) experienced in treating complex medical conditions that require neurosurgical care. Many of our specialists are located on the same floor of the hospital so we can offer the most coordinated treatment and ongoing care for your child before, during and well after a neurosurgical procedure.

 
Pediatric Neurosurgical Services We Provide

We offer nearly every neurological surgical procedure, including (but not limited to):

  • craniotomy (bone flap removal to treat tumors)
  • minimally invasive procedures (treat hydrocephalus, spina bifida and others)
  • interventional neuroradiology procedures (image-guided minimally invasive techniques to treat vascular malformations such as intracranial angioplasty, stenting and embolization)
  • intraoperative image guidance procedures (to more effectively treat brain tumors, epilepsy)
  • intracranial pressure monitoring and continuous cerebral oximetry (critical conditions, trauma)
  • neuroendoscopic procedures (minimally invasive technique to diagnose and treat brain tumors, congenital malformations)
  • reconstructive surgery (maxillofacial, oral and plastic surgery to treat congenital craniofacial abnormalities or trauma)
  • selective dorsal rhizotomy and baclofen pumps (treat spasticity)
  • stereotactic neurosurgery (image-guided minimally invasive techniques to treat tumors and arteriovascular malformations)
  • ventriculoperitoneal (VP) shunt (to drain extra fluid from the brain and spinal cord due to hydrocephalus)

Learn About These and Other Children’s Health Topics From Nemours KidsHealth.org »

 
Diagnostic Services at Nemours Children's Hospital

Nemours Children’s Hospital offers comprehensive diagnostic and advanced neuroradiological services, including:

  • X-rays (cervical, thoracic, lumbar, sacral, coccygeal)
  • angiography (combines X-ray and contrast dye to view inside of the blood vessels)
  • myelography (combines X-ray and contrast dye to view spinal cord)
  • cranial/brain ultrasound (uses sound waves to view structures)
  • computed axial tomography, or “CT” or “CAT” scans (combines X-ray and computer technology — the most advanced equipment available)
  • magnetic resonance imaging, or “MRI” (neuroradiological and fetal imaging)
  • functional magnetic resonance imaging, or “fMRI” (MRI to view functional areas of the brain)
  • magnetic resonance angiography, or “MRA” (MRI to view blood vessels)
  • nuclear imaging (positron emission tomography, or “PET” and single photon emission tomography, or “SPECT”)

Learn More About Medical Imaging at Nemours Children’s Hospital »

 
Pediatric Specialists on Your Child’s Care Team

In addition to a nurse care coordinator, your child may also see specialists across medical departments. Depending on your child’s condition, the care team may include pediatric:

  • behavioral health professionals (neuropsychologists, psychologists, psychiatrists)
  • geneticists (perform genetic testing and counseling)
  • hematologists (doctors who specialize in blood disorders)
  • interventional radiologists (perform image-guided minimally invasive procedures)
  • neonatologists (newborn intensive care specialists)
  • neurologists (specialize in brain and nervous system disorders)
  • neuroradiologists (radiologists with expertise in diagnosing nervous system conditions)
  • neuropsychologists (specialize in brain functioning)
  • oncologists (cancer doctors)
  • orthopedists (specialists in bones and joints)
  • orthotic specialists (design, customize and fit devices like remolding helmets)
  • otolaryngologists (ear, nose and throat, or ENT, specialists)
  • pain management specialists (help manage pain from surgery, disease or injury)
  • pathologists (diagnose diseases by examining body tissues, fluids and organs)
  • radiologists (provide diagnosis through medical imaging)
  • rehabilitation specialists (physical, occupational and speech therapists)
  • social workers (help families cope and locate community resources)
  • sports medicine specialists (specialize in sports injuries)
  • surgeons (orthopedic, oral and maxillofacial, plastic and general surgery)
  • urologists (specialize in bladder and urinary tract diseases and disorders)

For your convenience, our neurosurgical division provides streamlined scheduling and integrated appointments with multiple specialists on the same day, at the same location. And because your child’s care can’t wait, we offer neurosurgical appointments within a few days, not weeks (often as quickly as 24 hours). We also offer second opinions for families and we’re available to primary care physicians 24 hours a day, seven days a week for consultation.

Specialty Multidisciplinary Neurosurgical Programs and Clinics

At Nemours Children’s Hospital, we offer comprehensive, multidisciplinary specialty care programs, many that are unique to our area.

 
Complex Hydrocephalus Program

Hydrocephalus is a condition that results from increased intracranial pressure due to excessive cerebrospinal fluid on the brain. The neurosurgeons, neurologists and neuroradiologists at Nemours Children’s Hospital offer comprehensive evaluation and care for both congenital fetal (while in the womb) and neonatal (newborn) hydrocephalus, as well as hydrocephalus caused by trauma (following a surgery or injury) in kids of all ages. We have the most advanced image-guided and minimally invasive neurosurgical procedures available (including neuroendoscopic techniques) to reduce the potential for damaging healthy brain tissue and increase long-term effectiveness.

Our approach to treatment is careful and highly individualized to your child’s needs. Whether your child needs neurosurgery, ongoing surveillance or follow-up condition management, the pediatric neurosurgical team at Nemours Children’s Hospital is here to provide the best care possible.

 
Comprehensive Concussion Center

Concussions and traumatic brain injury can result from contact sports as well as auto or bike accidents, falls, or any other blunt force that causes the brain to move back and forth inside the skull. Concussions can affect how kids feel, behave and function in school and sports, which is why our concussion specialists at Nemours Children’s Hospital are out in the community educating Central Florida’s coaches, trainers, teachers and parents to raise awareness about the dangers of concussions in children and teens.

If your child experiences a concussion or traumatic brain injury we work closely with a multidisciplinary team — including neurologists, neuropsychologists, sports medicine specialists, physical medicine and rehabilitation therapists and ear, nose and throat (ENT) specialists (balance problems) — to evaluate and, if needed, treat the condition and help your child gradually and safely ease back into normal activities.

Learn More About Concussion Care at Nemours Children’s Hospital »

 
Craniofacial Center

Craniofacial disorders include abnormalities (or defects) of the bones in the skull and face that are congenital (present at birth) or acquired. At Nemours Children’s Hospital, our care teams, including plastic surgeons, geneticists and orthotists (remolding helmets) work together to treat newborns and children with craniofacial abnormalities and misshapen and/or abnormal head size due to craniosynostosis (when the skull bones fuse together before the brain has stopped growing), positional plagiocephaly (flattened head) and trauma.

Our goal is to help kids develop and function as normally as possible — and feel good about themselves as they grow. Our pediatric craniofacial team will give your child ongoing compassionate care and support all of your family’s needs even after surgery is performed.

 
Neuroendoscopy

Neuroendoscopy is a minimally invasive surgical technique that allows our neurosurgeons to remove tumors and make repairs through small holes (less than a half an inch) and natural openings such as the mouth and nose. With a high-resolution camera on a small scope (called an endoscope), we’re able to precisely locate the area and use very tiny tools to either biopsy a lesion, resect or remove tumors and cysts, relieve intracranial pressure (hydrocephalus) and treat vascular disorders and malformations, among many other therapies.

The benefits of image-guided, minimally invasive surgery include better accuracy, faster recovery time, less pain and risk for infection and minimal scarring.

Learn About Brain Tumor Treatment at Nemours Children’s Hospital »

 
Second Opinion Program

If your child has been diagnosed with a neurological condition that may require neurosurgery (or has had previous surgery and is now experiencing new symptoms), the neurosurgical team at Nemours Children’s Hospital is here to help you make the right decision for your family. We’ll look over previous reports, diagnostic tests and treatment recommendations, discuss current surgical and non-surgical treatments (medicine therapy, rehabilitation, etc.), and help you explore every option available, including the newest technologies, therapies and research advancements related to your child’s specific condition.

Our pediatric neurosurgery team offers this service for all types of conditions and symptoms related to the central and peripheral nervous system including brain tumors, spinal disorders, headache, muscle weakness and more by consulting as needed with Nemours specialists onsite, and other pediatric neurologists across our children’s health system in the Delaware Valley and throughout Florida.

 
Spasticity and Functional Disorders

Spasticity — excessive muscle tightness or tension — is a functional disorder that sometimes results from different neurological conditions and injuries. Our pediatric neurosurgeons work together with neurologists and specialists in physical medicine and rehabilitation and orthotics (assistive devices) to develop a surgical and rehabilitation treatment plan that works for your child.

Treatment may include advanced selective dorsal rhizotomy (a procedure that reduces high muscle tone in the legs) and intrathecal baclofen pump implantation (a device that reduces residual pain with medicines).

 
Spina Bifida and Tethered Spinal Cord

Spina bifida (also called myelomeningocele) is a defect in the way the neural tube develops, which is what forms the back bones, spinal cord and the surrounding nerves and membranes (called meninges). When the neural tube fails to close it’s called an open neural tube defect. Generally, neurosurgical treatment for spina bifida protects the spinal cord by closing the opening and “remaking” a spinal cord with normal tissues around it. The neurosurgeons at Nemours Children’s Hospital work with a team of specialists — including orthopedists, urologists and physical medicine and rehabilitation providers — to determine the best course of treatment, which initially includes repairing the neural tube defect as soon as possible.

We also treat damage to the nerves of the spinal cord often related to spina bifida, including paralysis and weakness in the lower extremities, tethered spinal cord (when the spinal cord is attached to tissues causing limited movement), brain abnormalities (such as Chiari malformation and hydrocephalus) and spinal deformities (such as scoliosis).

Learn More About Spina Bifida Care at Nemours Children’s Hospital »

 
Vascular Malformations

Nemours Children’s Hospital’s pediatric neurosurgeons work closely with our team of interventional radiologists (internationally renowned program), oncologists, general surgeons, otolaryngologists (ear, nose and throat specialists) and geneticists to diagnose and treat pediatric vascular malformations of the head and neck (problems with how arteries, veins, capillaries or lymphatic vessels form), such as arteriovenous malformations, moyamoya disease and hemangiomas.

We offer advanced image-guided, minimally invasive, neurosurgical treatment (including neurosurgical radiology procedures and neuroendoscopy) to improve blood flow to the brain and reduce the risks for blood clots, hemorrhage, strokes and other complications from pediatric cerebrovascular conditions.

Caring for the Whole-Child and Family

At Nemours, we’re committed to not only treating your child’s physical condition, but also attending to the emotional health and wellness of the entire family. We’re here with you every step of the way, educating you about the medical condition and treatments, helping you manage your child’s home care and providing your child and family with coping strategies for success at home, at school and out in the community.

 
Coping and Support for the Entire Family

To help make the experience as comfortable as possible, we also provide emotional and psychosocial support and many other services for your child and family, including:

Learn More About the Support Services and Amenities at Nemours Children’s Hospital »

 
Where We Provide Care: Where and When You Need It

Our specialty inpatient and outpatient intestinal care services are offered on the same floor of our hospital, a design (recommended by our Family Advisory Council) that fosters maximum collaboration among your child’s specialists, and, just as important, is convenient for your family.

What’s more, some of the very same pediatric specialists your child sees at Nemours Children’s Hospital also provide convenient care at our specialty location in downtown Orlando.

 
Electronic Health Record System: Keeping Track of Your Child’s Care

No matter where your child receives care at Nemours, your medical team (including your primary care provider) can keep track of your child’s progress and access your child’s medical history, test results and visit notes anytime through our award-winning electronic health record system.

You can also view parts of your child's health records, communicate with your Nemours care team, make appointments, request prescription refills and more through our MyNemours online patient portal.

Learn More About MyNemours »

What to Expect When Your Child Needs Surgery

If your child needs surgery, you can trust the highly trained pediatric surgical team at Nemours Children’s Hospital. Our pediatric surgical specialists (surgeons, anesthesiologists, and nurses) understand what kids (and families) need, psychologically, and physically.

Because we truly believe in family-centered care, we invite you (one parent or guardian) to the operating room to be with your child until just after sedation. We also provide our families with a peaceful place to wait without leaving the surgical floor, in our beautiful rooftop garden.

 
What Happens During the Pre-Surgical Visit

Before any type of surgical procedure, your child will require a pre-surgical visit. At this visit, you and your child will meet your surgeon, discuss the diagnosis and details of the operation, and get answers to all of your questions or concerns. You may also meet with an anesthesiologist if necessary.

We’ll call you before your visit so you'll know what to bring, like:
  • any medications your child is currently taking
  • your ID
  • insurance and/or Medicaid cards
  • proof of guardianship, if applicable

When you arrive for a pre-surgical visit, go directly to the pre-surgical clinic area on the second floor. There, the patient service representative will review and verify your information and insurance. You will also complete a medical history form.

A nurse practitioner will assist with the visit and order any necessary tests. She or he will also inform you about what to expect the day of the surgery, including:

  • how your family will be kept updated during the procedure
  • when you can expect the surgeon to come out and speak with you
  • when you can join your child in the recovery room

EmmiKids Programs: Online Educational Videos for Families

At the end of the pre-surgical visit, you and your child may have the option to view an online educational program from EmmiKids about the upcoming surgical procedure and the anesthesia. You can watch these programs at the hospital or you may choose to watch them at home or in your local library. We’ll give you an access code to view the program(s).

Learn More About EmmiKids at Nemours »

 
How to Prepare the Day Before Surgery

The day before surgery, the surgical services staff will call you to check on your child’s health status, give you a time of arrival for the next day, update you on feeding instructions, and answer any questions.

General Feeding/Drinking Instructions

No food, milk, formula or breast milk may be consumed after a specific time (provided by your surgeon) on the day of the surgery. Your child may only have apple juice, electrolyte replenishing/sports drinks or water up to four hours prior to scheduled surgery time. These are considered “clear liquids.” We ask that you do not substitute other juices. Special Note: Infants 11 months or younger may have breast milk, but only up to six hours prior to surgery.

Suggested items to pack for your child:
  • empty baby bottle or cup
  • special feeding or suction equipment (if needed)
  • bathrobe
  • slippers
  • socks
  • favorite stuffed animal and/or blanket
  • loose-fitting clothes
  • eyeglasses (if needed)
Please remove the following items from your child:
  • all jewelry — including earrings
  • fingernail polish
  • hair accessories
  • contact lenses
  • retainers
 
What Happens the Day of Surgery

On the day of surgery, we ask that you be here at the time instructed so your child’s surgery won’t be delayed. We encourage you to allow extra time in your travel plans in case of traffic or unexpected delays.

Parking and Where to Go in the Hospital

When you arrive at the hospital on the day of surgery, you can use our complimentary valet parking, or you can self-park in the garage near the outpatient entrance. Valet services are located at the outpatient entrance and are available Monday through Friday, from 8 a.m. to 6 p.m.

Once inside the hospital, go straight to the surgical services desk on the second floor. There, the patient service representative will greet you, review your child’s information and insurance status, and check your child in. We’ll give you a case number, as well as a pamphlet with instructions about where to go and what to do during the waiting period. We’ll ask your child to change into a hospital gown and will then check vital signs: temperature, pulse, blood pressure and weight.

Just Before Surgery

While waiting for surgery, your child can play in our colorful, relaxing surgical commons area featuring many interactive games and activities to help reduce anxiety and pass the time. We also have a “toy store” where your child or teen can choose from a variety of gifts like stuffed animals, ball caps, and electronic items to keep.

When it’s close to the time for surgery, we’ll escort you and your child to an exam room, where you’ll meet the anesthesiologist and operating room nurse. As part of our unique family-centered model of care, our anesthesiologists may allow one parent to accompany your child to the operating room and stay until just after the anesthesia is administered.

During and Just After Surgery

You’ll be asked to stay in the surgical waiting area while your child is in the operating room. A nurse liaison or a trained volunteer will keep you updated during the procedure. If you need to leave the area for any reason, please inform a staff member.

After surgery, your child’s surgeon will come out to discuss the procedure and answer any questions you may have. We’ll inform you as soon as you can join your child in the recovery area or “wake up” room.

Patients must be fully awake before discharge. You should plan to stay in the recovery area for at least one hour (or longer, depending on your child). It’s very common for children to experience nausea and/or vomiting just after surgery, and also have a flushed face. We’ll offer clear liquids to drink when your child is ready. If your child will be admitted to the hospital after surgery, you’ll be given instructions ahead of time.

Once your child is ready for discharge, a nurse will review instructions with you regarding diet, wound care, medication, activity, and when your child should return to see the doctor. You may also be given prescriptions.

 
What to Expect During and Just After Surgery

You’ll be asked to stay in the surgical waiting area while your child is in the operating room. A nurse liaison or a trained volunteer will keep you updated during the procedure. If you need to leave the area for any reason, please inform a staff member.

After surgery, your child’s surgeon will come out to discuss the procedure and answer any questions you may have. We’ll inform you as soon as you can join your child in the recovery area or “wake up” room.

Patients must be fully awake before discharge. You should plan to stay in the recovery area for at least one hour (or longer, depending on your child). It’s very common for children to experience nausea and/or vomiting just after surgery, and also have a flushed face. We’ll offer clear liquids to drink when your child is ready. If your child will be admitted to the hospital after surgery, you’ll be given instructions ahead of time.

Once your child is ready for discharge, a nurse will review instructions with you regarding diet, wound care, medication, activity, and when your child should return to see the doctor. You may also be given prescriptions.

 
What to Expect the Day After Surgery

Make sure your child rests as much as possible after surgery. Temporary nausea or vomiting is quite common after discharge. But if your child experiences any of the symptoms below, call your surgeon or the nursing staff immediately:

  • a fever of more than 101 degrees Fahrenheit
  • persistent nausea or vomiting
  • severe pain that’s not relieved by prescribed medication
  • excessive bleeding from an incision

A nurse will call to check on your child’s recovery and to address any questions or concerns. We’re committed to making your child’s surgical visit as pleasant and safe as possible – before, during and after the procedure.

 
Managing Pain After Surgery: Nemours Pain Management Program

If your child is experiencing post-surgical pain, we can help. Nemours Children’s Hospital has one of the only pediatric pain management programs in the country that provides holistic, whole-child — and whole family — healing for children and teens experiencing acute (temporary) or chronic (ongoing) pain. Our integrated program is led by a world-renowned pediatric anesthesiologist who is also board-certified in pain management. We focus on relieving the physical, mental, and emotional aspects of pain using a variety of therapies in an outpatient or inpatient (day stay hospital program) setting.

Learn More About Pediatric Pain Management at Nemours Children’s Hospital »


A Hospital Designed by Families, for Families

At Nemours Children’s Hospital, family-centered care is at the heart of everything we do. In fact, families helped shape the unique amenities and convenient services that make our hospital like no other in the region.

 
If Your Child Needs to Stay Overnight in Our Hospital

You’ll feel right at home in one of our private patient rooms designed with input from families who know what it’s like to have a child in the hospital.

Our large, comfortable, single-patient rooms have sleeping accommodations for two parents, a private bathroom, wireless Internet access, connections for DVD players and game systems, and two flat-screen TVs.

Other in-room features include:
  • full floor-to-ceiling windows for natural light
  • refrigerator for family meals and snacks
  • wardrobe storage for personal items and a hotel-style safe
  • GetWellNetwork interactive television (uniquely based on your child’s age, medical condition and more) and allows your child to watch TV, surf the Web, check e-mail, play music and games, and learn about your Nemours health care team.

Our “hospital within a garden” setting features many places for you and your family to go for fresh air and relaxation, including a one-acre interactive sensory discovery garden or one of our rooftop gardens on the second and fourth floors.

We have many more comforts and amenities such as:
  • complimentary valet and parking
  • kid-friendly commons areas for siblings
  • café and coffee shop
  • nondenominational chapel
  • concierge services

Learn More About Nemours Children’s Hospital »

 
Advanced Pediatric Medical Imaging Services Available Onsite

If your child needs medical imaging, we offer some of the area’s most advanced pediatric radiology services here on campus at Nemours
Children’s Hospital.

Our unique services include:
  • interventional radiology: Our team of experts uses image guidance to diagnose and treat diseases and tumors throughout the body. Certain conditions that previously required open surgery can now be treated by Nemours pediatric interventional radiologists. We are very fortunate to have the only dual-trained pediatric diagnostic and interventional radiologist in the state.
  • neuroradiological or cardiovascular imaging, and fetal MRI (magnetic resonance imaging): Our subspecialty-trained pediatric radiologists see children with complex conditions who require this highly specialized imaging.
  • Central Florida’s only 256-slice Brilliance iCT Scanner: We are one of only a handful of children’s hospitals in the country to have this latest generation CAT (or CT) scanner that scans faster than most machines and produces excellent images in a much shorter time with much less radiation exposure for the child.

Our team of board-certified pediatric radiologists and pediatric radiologic technologists are experts in the safe medical imaging of children of every age, even newborns.

We have also pledged our commitment to the “Image Gently” campaign of the Alliance for Radiation Safety in Pediatric Imaging, which is increasing awareness of the opportunities to promote radiation protection in the imaging of children.

Learn More About Medical Imaging at Nemours Children's Hospital »

 
Family-Centered Care Means We're Here for You

At Nemours, we want to hear your concerns and share with you everything we can about your child's condition and treatment. If English is not your first language, we'll make sure you understand what to expect — in your language.

Learn More About Interpreter Services at Nemours Children’s Hospital »

 
With Your Family From Clinic or Hospital to Home: KidsTRACK

If your child has a complex or chronic condition we encourage you to take advantage of KidsTRACK, a unique service of Nemours Children’s Hospital. Located on the first floor of our hospital, KidsTRACK is designed to help families by providing expert assistance and information on all aspects of your child’s care, even before you leave our hospital or clinic.

A KidsTRACK care coordinator is available during every step of diagnosis, treatment and healing — helping your family make a smooth transition from Nemours Children's Hospital to home. Your coordinator works alongside the nursing/case managers in our subspecialty areas and acts as a single point of contact connecting you to medical and community resources.

Simply ask your physician for a referral to KidsTRACK
or call (407) 650-7715.

Learn More About KidsTRACK at Nemours Children's Hospital »


Where We Provide Services

In addition to the hospital, we can provide outpatient care for your child at Nemours Children’s Clinic, Orlando, and we coordinate and consult with providers at Arnold Palmer Hospital and its satellite locations. We also see patients referred for care by physicians at Nemours Children’s Clinic locations in Jacksonville and Pensacola, as well as our Central Florida satellite locations in Melbourne and Lake Mary.