Dr. Robert Tomas, D.O., FACOS performs the Desarda Technique — a mesh-free hernia repair using your own tissue. No foreign materials. No mesh complications. Just lasting results.
Conventional hernia surgery relies on synthetic mesh — a foreign material that can migrate, cause chronic inflammation, and lead to complications years later. Dr. Tomas offers a proven alternative that works with your body, not against it.
The patented Tomas Technique for umbilical and ventral hernias uses a triple-layered, non-absorbable sutured repair — no mesh, no compromise.
Surgical mesh carries real risks — FDA recalls, chronic pain, and complications years after surgery. The Desarda Technique uses your own muscle tissue as a strong, natural replacement. Zero foreign materials enter your body.
Unlike other mesh-free techniques that pull on hernia edges, the Desarda method covers the hernia with a muscle graft that acts as a natural bridge — no tension, no pulling, no stress on surrounding tissue.
Out of 4,000+ surgeries performed at our center, fewer than 1% have had a recurrence. That's a track record that speaks for itself — and why patients travel from all 50 states to see Dr. Tomas.
One transparent price covers everything: surgeon fee, anesthesia, surgical suite, and medications. No insurance battles. No surprise bills. No co-pays. You know exactly what you're paying before you arrive.
Schedule your complimentary consultation by phone or online. Our surgical liaison is available 24/7 to answer every question.
Dr. Tomas personally evaluates your hernia and explains your options in plain language. No pressure, no rush — just honest guidance.
Your procedure is performed in our state-of-the-art in-house surgical suite. Anesthesia, facility, and surgeon fees are all included in one flat rate.
Most patients return to light activity within days. Our team supports you through every step of recovery — and beyond.

Dr. Robert Tomas founded U First Health out of a conviction that patients deserve better than synthetic mesh. After training directly under Dr. Mohan Desarda — the Indian surgeon who developed the technique — Dr. Tomas became the first and most experienced practitioner of the Desarda method in the United States.
His concierge-style practice means you get real face-to-face time with the surgeon himself — not a PA, not a resident. Every patient is treated as an individual, with a personalized surgical plan and direct access to Dr. Tomas throughout recovery.
"I am now 74. Last May 2025 you did inguinal hernia surgery on my left side and today I don't feel anything. I mean there's no twins or anything. Thank you Dr. Tomas."
"Thank you! I just had hernia surgery 3 days ago at UFirstHealth and it was a fantastic experience. Very minimal pain and healing very quickly."
"I had an umbilical hernia and called multiple doctors and went to multiple consultations. When I called U First they gave me direct answers and pricing. Best decision I ever made."
"I'm 67 and never written a review. I felt I needed to share my experience. Dr. Tomas was wonderful from the very first time I saw him. He explained everything clearly."
"Had surgery with Dr. Thomas 5 years ago and I'm so happy with results. So glad I went the no mesh route — thank you again super wonderful experience."
"Dr. Robert Tomas, you operated on me 2 years ago. I had a real big hernia — thanks to you I am great and free of problems. Forever grateful."
Because U First Health is the only certified Desarda center in the United States, patients travel from across the country — and internationally — to receive care here. Fort Myers is easily accessible, and our team helps coordinate every detail of your visit.

The Desarda Technique — mesh-free, low-tension, using your own muscle tissue.
The patented Tomas Technique — triple-layered, non-absorbable sutured repair.
Advanced no-mesh repair for ventral hernias with exceptional long-term outcomes.
Reduce localized fat in the abdomen, thighs, hips, and arms with precision.
Ideal for sagging skin or weakened abdominal muscles after pregnancy or weight loss.
Expert removal of benign soft tissue masses in a comfortable, concierge setting.
Ready to explore no-mesh hernia surgery? Fill out the form and our team will reach out within one business day. Consultations are always free with no obligation.