πŸ“ž (469) 529-0497 Mon–Fri, 8am–5pm Β· Telehealth available
Surgeon-led spine & regenerative care Β· Dallas

Most people don't need to rush into spine surgery. They need the truth first.

Dr. Sethuraman is a Mayo-trained spine surgeon who built this practice on one principle: your interest comes before ours. An honest read of your imaging, every option on the table, and surgery recommended only when it's genuinely the right call.

  • A fellowship-trained surgeon who tells you the truth β€” including when you don't need surgery
  • Regenerative and minimally invasive options, not just the operating room
  • A clear path from first question to long-term care
Walk me through it β†’ Request a free MRI review Free Β· from home Β· no obligation
How it works

What working with us is like

Honest, unhurried, and built around your result. Here's how a patient typically moves through the practice.

01

Your imaging, read honestly

Dr. Sethuraman personally reviews your MRI and history and explains what it actually shows β€” in plain language, not jargon.

02

Every option on the table

Surgical, minimally invasive, and non-surgical paths, with a straight recommendation β€” and surgery only when it's truly warranted.

03

Progress you can measure

If you move forward, results are tracked against your own imaging and labs, so improvement is documented β€” not just felt.

See where you'd start β†’
What we treat

Conditions we help with

If your problem is on this list, you're in the right place β€” and if it isn't, we'll tell you honestly and point you where you need to go.

Herniated & bulging discs

Disc problems in the neck or lower back, with or without nerve involvement.

Sciatica & radiating pain

Pain, numbness, or tingling that travels down an arm or a leg.

Spinal stenosis

Narrowing of the spinal canal causing pain, weakness, or trouble walking.

Degenerative disc disease

Wear-related changes driving chronic neck or back pain over time.

Chronic neck & back pain

Persistent pain that hasn't resolved with the care you've tried so far.

A surgery recommendation

You've been told you need an operation and want a straight second opinion first.

β€œThe patient's interest is the only interest.

It's the standard we hold ourselves to β€” and the reason a surgeon will tell you when you don't need surgery. It even begins with a free review of your MRI, before you owe us anything.

Dr. Venkat Sethuraman, MD, MBA, FAAOS, FAARM
The surgeon directing your care

Venkat Sethuraman, MD

Mayo Clinic spine fellowshipTrained at the program that trains less than 1% of spine surgeons β€” to find what others miss.
1,000+ spine surgeries Β· 100% focusedThe experience curve where pattern recognition becomes instinct β€” which is exactly why he knows when you don't need one.
Wharton MBA Β· board-certified FAAOS Β· regenerative-certified FAARMClinical depth plus a clear-eyed view of the insurance and standard-of-care economy behind your options.
More about the practice β†’
From patients

The work, in their words

Three patients, three different paths β€” surgery avoided, regenerative medicine, and chronic pain resolved.

β˜…β˜…β˜…β˜…β˜…

"He did a thorough evaluation and helped me avoid surgery. He referred me to physical therapy with his team… I am back to my usual activities. I'd highly recommend Dr. Sethuraman."

K
Krista S.
Google Review
β˜…β˜…β˜…β˜…β˜…

"I had regenerative knee injection with exosomes. I was on crutches when I came, now back to golf and my pickleball game has really picked up. Pain is minimal."

G
Guy R.
Google Review
β˜…β˜…β˜…β˜…β˜…

"Had a herniated disk for a year and was in incredible pain 24/7. Dr. Seth immediately spotted the problem and got rid of the pain. I haven't had any pain since."

F
Fencin A.
Google Review
Spine Physicians Institute building, Dallas Texas
Visit us

Dallas, Texas

3450 Forest Lane, Suite 200
Dallas, TX 75234

Two neighborhood chiropractic access points in North Dallas and McKinney connect into the same surgeon-led practice.

See all locations β†’

Before you sign for surgery you can't undo

Get a complete read from a Mayo-trained surgeon whose only interest is yours β€” not the operating schedule. Two minutes to find your starting point.

Programs

Surgery only when it's truly the answer

Every program is built around your interest, not the operating schedule. It always starts with a free MRI review β€” then, if you move forward, care is matched to how much your case actually needs.

The spine program Β· three depths

Choose your depth

The same surgeon-led standard, matched to your case. Below each tier is a plain-language note on what it actually does for you.

Core

$9,997
12-week program
β—ˆ CareCredit β€” β‰ˆ $499/mo, 0% for 24 monthsor from ~$270/mo over 60 months
  • Surgeon-directed diagnosis & plan
  • Regenerative treatment round
  • Structured physical therapy
  • Baseline labs & imaging review
  • Progress reviews at every milestone
πŸ’‘ For you: a real, structured shot at getting better without an operation β€” for a clear, single-driver problem.
Start with a free review
Most chosen

Enhanced

$15,000
12-week program
β—ˆ CareCredit β€” β‰ˆ $748/mo, 0% for 24 monthsor from ~$405/mo over 60 months
  • Everything in Core
  • Additional regenerative rounds
  • Recovery peptide protocol
  • Red-light & cryotherapy recovery
  • Targeted imaging & expanded labs
  • Priority access
πŸ’‘ For you: more firepower aimed at healing when one round isn't enough β€” so surgery stays a genuine last resort.
Start with a free review

Comprehensive

$22,500
16-week program
β—ˆ CareCredit β€” β‰ˆ $1,122/mo, 0% for 24 monthsor from ~$607/mo over 60 months
  • Everything in Enhanced
  • Extended regenerative & peptide protocol
  • Hyperbaric (HBOT) sessions
  • Comprehensive labs & imaging
  • Weekly reviews & concierge access
  • Take-home recovery device
πŸ’‘ For you: the most thorough non-surgical effort possible before anyone talks about the operating room.
Start with a free review
β—ˆ Financing available through CareCredit
Spread any program into predictable monthly payments β€” 0% interest for 24 months when paid in full, or lower payments over up to 60 months. A quick application gives an instant decision.
Learn about CareCredit β†’

Every program carries our commitment: measurable improvement by the program's end, or we keep working at no additional cost. Treatment counts are set by Dr. Sethuraman based on your case. Monthly figures are estimates using CareCredit's published payment factors; your actual terms depend on approval and the plan you choose. 0% offers charge deferred interest if not paid in full within the promotional period.

More than one way back

Two more surgeon-led paths

Nerve Program

For when nerve symptoms β€” numbness, tingling, or radiating pain down an arm or leg β€” are the primary problem, not the spine structure itself.

πŸ’‘ For you: care pointed at the actual source of your symptoms.
See if it fits β†’

Regenerative

PRP and exosomes as a standalone treatment β€” using your body's own repair signals to reduce inflammation and support healing, for the spine or other joints.

πŸ’‘ For you: a biologic option that may help appropriate candidates avoid or delay a procedure.
See if it fits β†’

Before you sign for surgery you can't undo

Get a complete read from a Mayo-trained surgeon whose only interest is yours.

Walk me through it β†’
Sovereign Membership

Getting better is the goal. Staying better is the plan.

Insurance pays for procedures, not for keeping you well β€” so the system waits for something to break. Membership is the opposite: an ongoing, surgeon-led relationship accountable to your result.

Why membership, in plain terms

Your spine doesn't stop needing attention the day a program ends

Muscles weaken, inflammation returns, life happens. Membership keeps the same surgeon-led team watching your progress, catching flare-ups early, and protecting the gains you worked for β€” the difference between a one-time repair and a relationship.

Foundation

$292/month
Stay ahead of problems
  • Annual comprehensive baseline
  • Physician-led coordination
  • Direct messaging access
  • Member pricing across programs
Inquire

Performance

$625/month
Optimize how you feel
  • Everything in Foundation
  • Hormone & metabolic optimization
  • Recovery & sleep protocol
  • Quarterly performance reviews
Inquire
Best value

Optimized

$1,500/month
See it before it's a diagnosis
  • Everything in Performance
  • Advanced imaging & early detection
  • Comprehensive longevity panels
  • Concierge surgical access
Inquire

Premier

$3,000/month
Handled, for the family
  • Everything in Optimized
  • Family coverage
  • Private surgical concierge
  • Lifetime member relationship
Inquire
The Apex Β· $6,250/month
By invitation, seat-limited. Everything in Premier, one program included each year, all programs at member pricing, and a private surgical concierge.
Request an invitation

Simple monthly membership. Pay month-to-month at the rate shown β€” or prepay and save 10%. Founding members lock their rate for life; pricing rises as the practice matures.

The practice

One clinic. One surgeon. One record.

Modern medicine is fragmented by design β€” a different specialist for every symptom, none of them talking. We built the opposite: a surgeon-led practice under one roof, organized around a single idea.

Why cash-pay

Built around the patient, not the insurance algorithm

Insurance-based care often limits time, options, and depth of evaluation. A cash-pay structure lets us spend real time with you and keep your interests β€” not an insurer's β€” at the center of every decision. When the plan is built around you, better decisions become possible.

More time

Unhurried evaluation

The room isn't scheduled to the minute by a billing code. Real time to read the whole picture.

Fewer filters

Every option, not just covered ones

Recommendations aren't shaped by what an insurer will approve β€” only by what's right for you.

One record

No six-referral runaround

Your entire picture lives with one surgeon-led team, transparent on price before you commit to anything.

Five disciplines, one record

Come in through whichever door fits today

From there, the whole system β€” and the same surgeon β€” works on your behalf.

Specialty Spine Surgery

The anchor β€” complex spine care from a Mayo-trained surgeon who operates only when it's genuinely warranted.

Regenerative Medicine

FDA-compliant, surgeon-delivered regenerative procedures β€” the bridge between surgical and longevity care.

Membership & Longevity

Diagnostics, hormone and metabolic optimization, and early detection β€” the relationship that keeps you well after recovery.

Chiropractic Access

Convenient neighborhood entry points in North Dallas and McKinney that connect you into the surgeon-led system.

Wellness Modalities

Cryotherapy, red light, infrared, recovery β€” the daily-application layer that keeps the framework working between visits.

See our locations β†’
Locations

Three easy places to start

Our Dallas clinic anchors the practice. Two neighborhood chiropractic access points β€” North Dallas Parkway and McKinney β€” are walk-in-friendly front doors into the same surgeon-led system: one record, one standard, one team.

Spine Physicians Institute building, Dallas Texas at sunset
Main clinic

Dallas β€” Forest Lane

3450 Forest Lane, Suite 200
Dallas, TX 75234

πŸ“ž (469) 529-0497
Mon–Fri, 8am–5pm
Get directions β†’
Chiropractic access

North Dallas Parkway

15110 North Dallas Pkwy, Suite 102
Dallas, TX 75248

A convenient front door into the practice.
Get directions β†’
Chiropractic access

McKinney

1505 Harroun St, Ste F
McKinney, TX 75069

Serving Collin County and the north suburbs.
Get directions β†’
Not sure which door fits?
Start with a free MRI review from home β€” we'll route you to the closest location if in-person care is warranted.
Where do I start?

Facing a spine decision? Let's walk through it together.

A few simple questions β€” no medical jargon, nothing you have to know in advance. About two minutes, and you're not committing to anything.