Where Your Child Will Have Surgery

Children’s Hospital at North Central Baptist

Dr. Bonilla performs all microtia reconstruction at this pediatric hospital in San Antonio — where he and his surgical team have worked together for over thirty years.

520 Madison Oak Drive  ·  San Antonio, TX 78258
Dr. Arturo Bonilla MD
Dr. Arturo Bonilla, MD — Written & Medically Reviewed
Fellowship-Trained · Pediatric Microtia Surgeon · Pediatric Otolaryngologist · Exclusively microtia since 1996 · Last reviewed 2026 · Updated regularly
✓ Medically Reviewed
Children's Hospital of San Antonio North Central — where Dr. Arturo Bonilla performs microtia surgery for patients traveling from around the world
Children's Hospital at North Central Baptist
Part of the Baptist Health System  ·  San Antonio, Texas
520 Madison Oak Drive, San Antonio, TX 78258
Hospital main: (210) 403-6500   |   Dr. Bonilla's office: (210) 477-3277
Most patients discharged same day or morning after surgery
Located on San Antonio's north side, ~15 min from the airport

🏥 Dedicated Pediatric Hospital ✓ All Stage 1 Surgeries Here 👨‍⚕️ Pediatric-Only OR Teams 🔬 30+ Years of Microtia Cases
The Hospital

A Children's Hospital Built Entirely for Pediatric Care

Children's Hospital at North Central Baptist is a full-service pediatric hospital — not a children's wing inside an adult facility, but a hospital where every clinician, every protocol, and every piece of equipment exists for one purpose: the care of children. The surgeons, anesthesiologists, nursing staff, and operating room teams work exclusively with pediatric patients every day.

For microtia families traveling from other states and countries, this specialization is not incidental. Every standard, protocol, and team member at this hospital is calibrated to pediatric needs — not adapted from adult medicine.

Dr. Bonilla has performed all of his microtia reconstruction surgeries at this hospital for over 30 years. The partnership between Dr. Bonilla and the hospital team is not merely contractual — it is a deep professional relationship built through hundreds of shared cases. That shared history is a genuine component of the factors that contribute to surgical safety here.

30+
Years of microtia cases at this hospital
100%
Pediatric-dedicated hospital and staff
1:1
Nursing care ratio in recovery
All
Stage 1 surgeries performed here
Why This Hospital

The OR Team — Experience Built Over Three Decades

Surgical outcomes are not determined by the surgeon alone. Every operation is the result of a team — the anesthesiologist who maintains the child in a perfectly calibrated anesthetic state for three or four hours, the scrub technician who anticipates what the surgeon needs before it is asked for, the circulating nurse who ensures every instrument and supply is exactly right, the recovery nurses who watch over the first critical hours. A surgical team with this level of shared experience in a single procedure does not develop overnight.

Dr. Bonilla chose Children's Hospital at North Central Baptist and has stayed because the team here has grown alongside him. Over three decades and hundreds of microtia surgeries, the hospital staff has developed a precise, detailed understanding of exactly what microtia reconstruction requires. The pediatric anesthesiologists know the specific demands of children undergoing multi-hour cartilage procedures. The OR nurses know the instrument trays, the procedure's flow, and the timing. The recovery nurses know what the first hours after a microtia surgery look like and what children need in those hours.

This institutional knowledge cannot be replicated elsewhere — it develops through years of shared experience across hundreds of cases. Families who travel to San Antonio are choosing not only a surgeon but a hospital team that has worked alongside that surgeon, on this specific procedure, for over thirty years.

Why not operate closer to home? Parents sometimes ask whether Dr. Bonilla could operate at a hospital in their state. The honest answer is that the quality of care depends on the team — not just the surgeon. The relationships Dr. Bonilla has built with this hospital's anesthesiology and OR staff over 30 years are a genuine component of surgical excellence. Starting over in a new hospital with an unfamiliar team would mean giving up something real.

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I operate here because the team here knows what we're doing together. After 30 years, the anesthesiologist knows this procedure. The scrub tech knows this procedure. The recovery nurses know what a child needs coming out of this surgery. That institutional knowledge is irreplaceable — and it is part of what your child receives when they have surgery here.
AB
Dr. Arturo Bonilla, MD
Pediatric Microtia Surgeon  ·  San Antonio, TX

One-on-one nursing care during recovery Following surgery, your child receives dedicated, individualized nursing attention during recovery. The staff here is experienced specifically with pediatric post-surgical patients and familiar with what microtia patients need in the hours after surgery — not just clinically, but as frightened and disoriented children who need warmth and reassurance alongside medical monitoring.

The Team in the Room

The Operating Room Team

Microtia reconstruction is a multi-hour pediatric surgery requiring precision at every level — from anesthesia to instrumentation to recovery. This team has developed that precision through thirty years of working together on exactly these cases.

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Pediatric Anesthesiology
The anesthesiologists are board-certified pediatric specialists who work exclusively with children. Maintaining precise anesthetic depth over a 3–4 hour cartilage procedure in a child requires specific expertise. These anesthesiologists have done exactly this, with Dr. Bonilla, many times. They know the procedure's timeline and intraoperative requirements — and they know Dr. Bonilla's patients. From first induction to the last stitch,
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Specialized OR Nursing
The scrub technicians and circulating nurses know Dr. Bonilla's surgical approach in detail. After hundreds of cases together, they anticipate instrument needs, understand the procedure's flow, and maintain the focused environment that precision surgery requires. This familiarity directly reduces surgical time, minimizes the unexpected, and allows Dr. Bonilla to focus entirely on the surgery. The OR nursing staff here has made microtia reconstruction part of their professional expertise — not as a novelty, but as a specialty.
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Pediatric-Only Environment
Every operating room, instrument, protocol, and piece of monitoring equipment at this hospital is calibrated for pediatric patients. The table sizes, the anesthetic machines, the instrument trays, the emergency protocols — all exist for children. Children are not small adults, and the standards of care for pediatric surgery reflect this. Your child will not be accommodated within a system designed for adults; they will be the patient this system was built for.
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Recovery & Post-Surgical Nursing
The post-anesthesia recovery unit (PACU) and inpatient nursing staff are experienced in pediatric post-surgical care and familiar with microtia patients specifically. They know how to comfort a child disoriented by anesthesia, how to manage pain for this procedure, how to monitor the surgical site, and when to involve the surgeon. The one-on-one nursing ratio during recovery means your child is never left waiting for attention when they need it most.
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Family-Centered Care
Parents are understood to be essential members of the care team — not visitors to be tolerated. Parents are kept informed and involved at every stage, and the facility is designed to keep families as close to their child as protocols allow. For families who have traveled thousands of miles, the staff understands the additional weight of being far from home and provides attentive pediatric nursing care and communicates clearly with families throughout recovery.
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Full Pediatric Safety Infrastructure
Children's Hospital at North Central Baptist maintains the full complement of safety systems expected of a modern pediatric hospital — pediatric intensive care, blood bank, pharmacy, radiology, and emergency response. While complications in microtia reconstruction are uncommon, families deserve confidence that every resource is immediately available if the unexpected occurs. This is another reason the dedicated pediatric hospital setting matters.
Surgery Day

What to Expect on the Day of Surgery

For families who have traveled far to get here, surgery day carries a particular mix of anticipation, nervousness, and relief that the day has finally arrived. Knowing what will happen — step by step — takes away some of the uncertainty. Here is what a typical surgery day looks like. Your specific instructions will be provided by Dr. Bonilla's office in your pre-operative packet.

1
Early AM
Arrival & Registration
Arrive at the hospital at the time specified in your pre-operative instructions — typically early morning, often around 6:00–6:30 AM. Check in at the pediatric surgical admissions area. Bring your child's insurance card, photo ID, and any completed pre-admission forms.
2
Pre-Op
Pre-Operative Preparation
Your child is brought to the pre-operative area, changed into a hospital gown, and has vital signs checked. An IV line is placed — usually with numbing cream to minimize discomfort. The pediatric anesthesiologist will visit to review medical history and answer your questions. Dr. Bonilla will come by before surgery begins. Parents remain with the child until the OR doors open.
3
3–4 hrs
Surgery — Stage 1
Stage 1 — rib cartilage harvest, framework carving, and placement under the skin — typically takes 2.5 to 3 hours. Parents wait in the family waiting area. A staff member provides updates. Dr. Bonilla will come to speak with you personally as soon as surgery is complete.
4
Post-Op
Recovery Room
Your child moves to the Post-Anesthesia Care Unit (PACU) for monitoring as anesthesia wears off. Recovery nurses manage comfort and watch the surgical site. Parents are typically able to join their child once the child is awake and stable. This is often the most tender moment — your child waking up, looking for you, the surgery behind them.
5
Overnight
Inpatient Stay & Discharge
Most patients are observed overnight and discharged the following morning. Pain management, dressing care instructions, and activity restrictions are reviewed with parents before discharge. Plan to remain in San Antonio for approximately 5–7 days before Dr. Bonilla clears you for travel at your post-operative follow-up appointment.

Fasting (NPO) instructions are a critical safety requirement. Children must follow specific fasting guidelines before anesthesia. Your exact instructions will be in your pre-operative packet — follow them carefully. Generally, no solid food for several hours before surgery, with specific cutoffs for formula and clear liquids. When in doubt, call Dr. Bonilla's office at (210) 477-3277.

What to Bring on Surgery Day
  • Insurance card and photo ID for the parent or guardian
  • Completed pre-admission forms provided by the hospital in advance
  • Child's comfort item — a stuffed animal, small blanket, or beloved toy. Nursing staff welcomes these in pre-op
  • Loose, front-opening clothing for your child — easy to dress around post-surgery dressings
  • Snacks and entertainment for waiting parents — surgery takes several hours; bring your own food, a book, or a device
  • Phone charger — you will want a charged phone for updates and photos when surgery is done
  • Overnight bag — a change of clothes for one parent, toiletries, and anything your child will want during hospital recovery
  • Medication list — all current medications with dosages

Siblings at the hospital: If you are traveling with other children, plan for their care during the surgery hours. A second parent or family member who can look after siblings while one parent waits in the family area makes surgery day significantly smoother for everyone.

Traveling parents: If only one parent has traveled with the child, Dr. Bonilla's staff is happy to be a point of contact for updates for family members back home. You will not be navigating this day alone.

Getting There

Directions & Parking

Google Maps location of Children's Hospital of San Antonio North Central Baptist — where Dr. Arturo Bonilla performs microtia ear reconstruction surgery.

520 Madison Oak Drive, San Antonio, TX 78258

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From San Antonio International Airport (SAT) Approximately 15–20 minutes by car via US-281 North. Take US-281 N, exit toward Stone Oak Parkway / Evans Road, follow signs to North Central Baptist.
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From Downtown San Antonio Approximately 25–30 minutes via US-281 North. Head north on US-281, take the Stone Oak Parkway exit, follow to Madison Oak Drive.
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From I-10 West / IH-35 Take Loop 1604 to US-281 North, then follow directions from downtown. Most GPS routing will navigate you directly.
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Parking Free parking in the dedicated hospital parking structure and adjacent surface lots. No fees for patients and families. Accessible parking close to all entrances.
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Need help finding your way? Our staff is happy to help with directions — call (210) 477-3277 during business hours with any question before surgery day.
The Neighborhood

The Stone Oak Area — Practical Information

Children's Hospital at North Central Baptist sits in the Stone Oak area on San Antonio's north side — a well-developed suburban neighborhood with every convenience families need for a week-long stay. Hotels of all types, grocery stores, pharmacies, restaurants, and family-friendly activities are all close by.

The hospital is approximately 5 miles from Dr. Bonilla's office at 9502 Huebner Road, Suite 301 — a short drive families will make several times for pre-operative visits and post-operative follow-ups.

Hotels near the hospital

Multiple hotels sit within 5–10 minutes of the hospital. For the 5–7 day post-operative recovery period, extended-stay hotels with kitchen suites are particularly comfortable — they provide more living space and the ability to prepare simple meals rather than relying entirely on takeout when your child is recovering. Dr. Bonilla's office can provide current hotel recommendations when your surgery is scheduled.

Dr. Bonilla's office

Pre-operative and follow-up appointments take place at 9502 Huebner Road, Suite 301, San Antonio, TX 78240. Families typically visit the office the day before surgery and again a few days after before traveling home.

Still have questions about getting here? Dr. Bonilla's office staff are experienced helping out-of-town families navigate San Antonio. Call (210) 477-3277 — we want your time here to feel as easy and supported as possible.

For Out-of-Town Families

Support for Families Traveling to San Antonio

A significant portion of Dr. Bonilla's patients travel from other states — and many from other countries. His team has helped hundreds of traveling families plan their time in San Antonio and they are ready to help yours.

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Flying to San Antonio
San Antonio International Airport (SAT) is served by all major US carriers with direct flights from most major cities. International families typically connect through Houston (IAH), Dallas (DFW), or Miami (MIA). The airport is roughly 15–20 minutes from both the hospital and Dr. Bonilla's office. Book flexible fares when possible — post-operative recovery occasionally warrants adjusting a departure date.
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Where to Stay
Extended-stay hotels with kitchen suites are ideal for the post-operative week — families have more space, can cook simple meals, and aren't dependent entirely on delivery for a child who is resting and recovering. Several options exist close to the hospital and office. Contact Dr. Bonilla's office for current recommendations tailored to your family size and budget. Some families use vacation rental homes for added comfort.
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Food & Daily Life
The Stone Oak area has extensive restaurant, grocery, and pharmacy options within easy reach. San Antonio is a genuinely excellent food city — families will find everything from casual takeout to sit-down dining, with plenty of options that travel well back to a hotel room. HEB grocery stores (a Texas institution) are nearby and fully stocked.
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International Families
Dr. Bonilla treats patients from Mexico, Latin America, Europe, Asia, and beyond. His staff has experience coordinating international travel, insurance documentation, and bilingual communication. Spanish-speaking staff are available. Hospital interpreter services are available for other languages. Contact the office early — international logistics need more lead time, and the team will walk you through everything.
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How Long to Plan For
Arrive the day before surgery for your pre-operative appointment at Dr. Bonilla's office. After Stage 1, plan to stay approximately 5–7 days before traveling home — Dr. Bonilla clears you for travel at your follow-up appointment. Stage 2 is same-day outpatient with no required overnight stay. Stage 3 is also same-day outpatient, with a return visit after 5–7 days for sponge removal before traveling home. Your surgery coordinator will give you a detailed timeline when surgery is scheduled.
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Things to Do in San Antonio
When your child is feeling up to it — usually 3–4 days after surgery — San Antonio has wonderful child-friendly options: the San Antonio Zoo, the River Walk, the Children's Museum, Morgan's Wonderland, and more. Having activities planned for the recovery days can help children stay engaged during the post-operative period.

Dr. Bonilla's office coordinator can assist with travel logistics questions. They have helped hundreds of families from out of town and around the world, and they know every common question and practical challenge. The sooner you contact the office, the more flexibility everyone has. Call (210) 477-3277 or reach out through the contact form.

Common Questions

Questions Families Ask About the Hospital

Are all surgical stages performed at this hospital?
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Yes. All stages of microtia reconstruction — Stage 1 (cartilage framework placement), Stage 2 (formation of the lobule), and Stage 3 (elevation and sulcus creation) — are performed at Children's Hospital at North Central Baptist. Families traveling from out of town return to San Antonio and to this hospital for each stage.

Stage 2 is outpatient and the patient may return home the same day. Stage 3 requires a stay of 5 to 7 days in San Antonio. Your surgery coordinator will give you a complete staging timeline at your initial consultation.

Can both parents be present at the hospital on surgery day?
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Yes. Both parents are welcome and encouraged to be present. In the pre-operative area, both parents can typically stay with the child until the child is taken into the OR. During surgery, both parents wait together in the family waiting area. One parent is typically allowed into the recovery room as soon as the child is awake and stable.

The hospital follows a family-centered care model and understands that having both parents present is important — particularly for families who have traveled far to be here.

How long will my child be in the hospital after Stage 1?
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Most children are observed overnight following Stage 1 and discharged the morning after surgery. Discharge instructions and dressing care will be reviewed with parents before leaving.

How soon after surgery can we fly home?
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After Stage 1, the patient usually stays in the vicinity of San Antonio for 5–7 days because the drains are removed. They may return home after drain removal if they live far away. After Stage 2, they may return home the same day. After Stage 3, the patient is discharged the same day but must return after 5–7 days for sponge removal before traveling home.

Is there a place for parents to sleep if my child is admitted overnight?
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Yes. There is only an overnight stay after the first stage, and both parents can stay in the child's room at Children's Hospital at North Central Baptist.

What if we have a medical concern after we return home?
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Dr. Bonilla's team provides direct contact information for post-operative questions. For questions about dressings, activity, or the appearance of the surgical site, call the office at (210) 477-3277 at any time.

Telehealth follow-up appointments are also available for families who cannot travel back for a scheduled check-in. Dr. Bonilla's team will work with your situation.

Request a Consultation

Families travel from across the United States and around the world for this combination of surgical expertise and an experienced, dedicated hospital team. Dr. Bonilla’s office will help you plan every aspect of your time in San Antonio.

Request a Consultation With Dr. Bonilla

To get started, submit your information through our contact form and Dr. Bonilla’s team will be in touch to schedule a virtual consultation.