About Us Laparoscopic Surgery NW is the premiere hernia and general surgery center in Tacoma, Washington. Under the direction of board-certified general and laparoscopic surgeon, James Rifenbery, MD, FACS, who has decades of hands-on experience, the surgical practice concentrates on staying current with the latest technologies to offer patients the best care possible.  By taking advantage of the latest developments in laparoscopic and robotic surgery, the surgeons at Laparoscopic Surgery NW provide patients with safer, less invasive procedures. Committed to offering state-of-the-art methods, the practice is actively involved in the revolution of single-site robotic surgery, which requires only one incision to perform. Though Laparoscopic Surgery NW has developed a reputation as leaders in minimally invasive surgery in Pierce County, the experienced surgeons also know when traditional surgical methods are the better choice. The laparoscopic surgical practice specializes in abdominal procedures, including colon surgery, gallbladder surgery, stomach surgery, bowel surgery, and hemorrhoidectomy. The practice is also actively pursuing a designation as a regional hernia Site of Excellence for Abdominal Wall Reconstruction. The experienced team can also perform spine exposure surgery to alleviate back pain caused by degenerative disc disease. When surgery becomes the necessary choice for health, patients need a surgeon they can trust. For skilled, capable surgical care from surgeons with heart, contact Laparoscopic Surgery NW by phone or request an appointment online today.