Copy to clipboard 
Adolph Lombardi, M.D., is a pioneering surgeon in implant design, a leader in outpatient hip and knee replacement and one of the most respected names in orthopedics. He’s also known for his natty attire. In 2013, Dr. Lombardi and his partners opened two ASCs outside of Columbus, Ohio, where they have performed more than 10,000 outpatient joint replacements. The 68-year-old is one of the hardest-working docs in the business and has no plan to slow down anytime soon. We happened to catch him after another busy day of surgery to discuss the latest industry trends and why he thinks every surgeon should look the part.
Why did you pursue a career in orthopedic surgery?
Dr. Lombardi: I grew up in suburban Philadelphia in a predominantly Italian community. A family practitioner by the name of Dr. Anastasia was highly respected for his compassionate care. At an early age I aspired to follow in his footsteps, viewing medicine as a noble profession characterized by service and respect for patients. I went to Temple University’s School of Medicine and, after several fellowships, ended up in Ohio, where I began my career in a high-volume practice under the tutelage of Dr. Thomas Mallory, an incredible surgeon and one of my mentors. I’ve been able to help countless patients. I’ve designed knee implants. I’ve traveled the world. It’s been an amazing journey.
You run a successful practice and two ASCs, lend your expertise to product development efforts and you’re a high-volume surgeon. Where do you find the time?
Dr. Lombardi: Most mornings I’m up at 4:45 and at my office or the operating room by 5:30. One of my mentors told me I could surround myself with a few staff members and be a low-volume surgeon, or I could work with a bigger team who allow me to perform more procedures. I love being surrounded by talented individuals and feed off the interactions with patients. Performing surgery is my passion. I’m a happy guy.
How can orthopedic companies continue to advance outpatient care?
Dr. Lombardi: I’ve emphasized the importance of addressing logistical challenges — instrument preprocessing and operating room set-up — that impede surgical efficiency. Centralized sterilization centers could streamline instrument reprocessing and management for outpatient facilities. Consolidating the supplies needed for individual cases — the correct sized implant for the patient and gowns, drapes and gloves for the surgical team — and delivering them directly to ASCs would significantly improve workflows. Whichever company perfects the “surgery in a box” concept will win.
What are your views on the increasing role of robotic assistance in joint replacement surgery?
Dr. Lombardi: Robots have become another vehicle that allows orthopedic companies to make more money and, unfortunately, the healthcare system is paying for the current robotic enthusiasm. The implant-agnostic concept is intriguing, but I’m not entirely convinced it will gain traction among the major players. I’m very interested in the potential of mixed reality technology, which allows surgeons to generate a preoperative plan and then execute it in ways that enhance their abilities.
How many of your signature suits do you own?
Dr. Lombardi: About 30 — too many! I’m a big believer in the way that you present yourself impacts how you’re treated and reflects how seriously you take your responsibilities. I want patients to perceive me as someone who is dedicated to my craft and their well-being. Wearing a suit conveys respect for my role and my patients. Will and Charlie Mayo — the surgeons who founded the Mayo Clinic — chose to wear suits instead of white coats, viewing the look as a symbol of professionalism. That mindset resonates with me deeply.
