Monadnock Surgical Associates

Close-up of a healthcare professional gently holding a patient's hand in a comforting manner, with the caregiver wearing green surgical gloves.

Overview

Expert General Surgery and Surgical Care in Peterborough, NH

Welcome to Monadnock Surgical Associates (MSA), a general surgery practice in Peterborough, New Hampshire, where expert surgical care meets compassionate, patient-centered treatment. Located at Monadnock Community Hospital, we specialize in a wide range of surgeries, ensuring that each patient receives personalized care before, during, and after surgery. Whether you need routine or complex procedures, we’re here to help you regain your health with the highest level of care. As part of Monadnock Community Hospital, our surgeons provide surgical consultations, minimally invasive procedures, and coordinated surgical care close to home.

About Monadnock Surgical Associates

Monadnock Surgical Associates is the physician practice where patients are referred for evaluation and surgical planning, while procedures are performed at Monadnock Community Hospital.

At Monadnock Surgical Associates, we understand that surgery is a significant step in your healthcare journey. That’s why our team of highly trained and board-certified surgeons uses the latest techniques and equipment to provide you with the best possible outcomes. We specialize in both open and minimally invasive (laparoscopic) surgeries, allowing us to treat a variety of conditions with precision and care.

Conditions We Treat and General Surgery Services

Doctor in a white coat holding a detailed anatomical model of the human colon, using a pointer to explain gastrointestinal health or conditions.

Colon Conditions

Our surgeons evaluate and treat a range of colon conditions, including polyps, diverticular disease, and other disorders affecting the large intestine. When surgery is needed, minimally invasive colon surgery may be an option, depending on the condition and individual patient needs

Medical professional holding a digestive system model showing stomach, pancreas, and gallbladder.

Gallbladder Conditions

We diagnose and treat gallbladder conditions such as gallstones and gallbladder inflammation. When surgery is recommended, our team commonly performs laparoscopic gallbladder removal, a minimally invasive approach that allows many patients to return home and resume normal activities sooner.

Nurse holding a patient’s hands in a reassuring gesture, symbolizing support and compassionate medical care.

Hemorrhoid Treatment

Monadnock Surgical Associates provides surgical care for hemorrhoids when symptoms cannot be managed with conservative treatment. Our surgeons focus on relieving discomfort and improving quality of life, using careful evaluation to determine the most appropriate treatment option.

Healthcare professional reviewing and filling out a medical form on a clipboard with a patient, focusing on health history and clinical information.

Hernia Care

Patients come to Monadnock Surgical Associates for evaluation and treatment of hernias, including inguinal, umbilical, and ventral hernias. Our surgeons offer both open and minimally invasive laparoscopic hernia repair, helping reduce discomfort and support a smoother recovery whenever possible.

What to Expect from Monadnock Surgical Associates

From your initial surgical consultation and evaluation through to your recovery, Monadnock Surgical Associates provides comprehensive and compassionate care. Here’s what you can expect:

Thorough Assessment: Our surgeons take the time to fully assess your condition, explain your options and answer any questions you may have.
Minimally Invasive Techniques: Whenever possible, we use laparoscopic (minimally invasive) surgery, which typically results in smaller incisions, quicker recovery times, and less pain.
Personalized Treatment Plans: Each patient receives a care plan tailored to their specific needs, including procedure selection, surgical planning, and recovery guidance.
Comprehensive Follow-up Care: We provide detailed post-surgery instructions and regular check-ups to ensure you’re healing properly.

Our surgical team is committed to making sure you feel comfortable and informed every step of the way.

Call to Schedule a Consultation

We offer a wide variety of surgical procedures to treat both common and complex conditions.

Our general surgeons diagnose and treat a wide range of conditions affecting the digestive system, abdominal wall, skin, soft tissues, and lymphatic system. When appropriate, we use minimally invasive laparoscopic surgery to support faster recovery and reduced discomfort.

Our surgical specialties include:

Surgeon reviewing treatment information with a patient during a pre-surgical consultation in a medical office

Open Surgery:

Exploratory Laparotomy
Open Lysis of Adhesions
Open Umbilical Hernia Repair with Mesh
Open Ventral Hernia Repair with Mesh
Open Inguinal Hernia Repair with Mesh
Port Placement with Image Guidance
Port Removal
Transanal Excision of Polyp
Wound Debridement

Patient resting comfortably in a hospital bed after surgery, smiling and giving a thumbs-up to show a positive recovery experience

Laparoscopic Surgery:

Laparoscopic Appendectomy
Laparoscopic Cholecystectomy with Cholangiogram
Laparoscopic Colostomy Closure
Laparoscopic Colostomy Creation
Laparoscopic Lysis of Adhesions
Laparoscopic Partial Colectomy
Laparoscopic Sigmoid Colectomy
Laparoscopic Small Bowel Resection
Laparoscopic Umbilical Hernia Repair with Mesh
Laparoscopic Ventral Hernia Repair with Mesh

Healthcare professional supporting a patient as they walk with a walker in a hospital hallway during post-surgical recovery

Other Surgical Procedures:

Excision of Lymph Node
Excision of Pilonidal Cyst
Excision of Skin Lesion(s)
Excision of Subcutaneous Mass
Hemorrhoidectomy
Incision and Drainage

Each surgical procedure is performed with the utmost care and skill, ensuring that you have a smooth, effective recovery.

Patient Education & Resources

These resources support patients referred to Monadnock Surgical Associates for general surgery, laparoscopic procedures, and post-operative recovery.

These resources include:

Pre-surgery instructions
Post-surgery care tips
Nutritional and lifestyle recommendations
Educational materials about each procedure we offer.

Meet Dr. Kwitkin

Hear From Our Community

Surgical Success: Hiyam's Journey to Restoration

When Hiyam Makarios, a former high school teacher, confronted a painful hernia, she found hope with Dr. Brian Kwitkin at Monadnock Surgical Associates. Her surgery was not just successful—it was transformative.

“It’s because of Dr. Kwitkin and his nurses that I have been able to strengthen my stomach muscles and return to my normal life,” Hiyam shares. “Everything was perfect, and I’m proud to say Dr. Kwitkin was my surgeon.”

Ready to take the next step? Call 603-924-4668 to schedule your appointment today.

Call to Schedule a Consultation

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Posted on Jan.19.2026February 3, 2026

Reflecting on a Year of Care: 2025 Patient Stories

Melissa French

Posted on May.6.2025February 3, 2026

Heartfelt Stories – Partners in Progress, Healing with Purpose: Rosamond’s Story

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Posted on May.6.2025February 3, 2026

Heartfelt Stories – Don’s Journey of Hope: A Story of Resilience and Collaborative Care

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Posted on May.1.2025February 3, 2026

Key Statistics 2024

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Posted on Jan.5.2025February 3, 2026

Reflecting on a Year of Care 2024: Stories of Compassion and Community

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Posted on Jun.21.2024February 3, 2026

Heartfelt Stories – Restoring Strength and Confidence: Hiyam’s Journey

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Posted on May.15.2024February 3, 2026

Key Statistics 2023

Melissa French

Posted on May.15.2024February 3, 2026

Welcome New Medical Staff 2024

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Posted on Mar.1.2024February 3, 2026

Welcome Dr. Brian Kwitkin to Monadnock Surgical Associates

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Posted on May.15.2023February 3, 2026

A Century of Excellence – Explore Our Growth

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Posted on May.15.2023February 3, 2026

Key Statistics 2022

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Posted on Apr.24.2022February 3, 2026

Key Statistics 2021

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Posted on Apr.17.2022February 3, 2026

Heartfelt Stories – Where Healing Happens: Patricia’s Story

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Posted on Apr.17.2021February 3, 2026

Heartfelt Stories – A Hidden Gem: Randy’s Journey with Monadnock Community Hospital

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Posted on Apr.18.2018February 3, 2026

Surgical Excellence at MCH: A Hidden Gem in New England

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To schedule a consultation or learn more about our services, please contact us: Medical Arts Building Suite 107 454 Old Street Road Peterborough, NH 03458

Phone: 603-924-4668

Fax: 603-924-4669

We are here to help you take the next step toward better health.

We believe in empowering our patients with the knowledge they need to make informed decisions. That’s why we offer a range of patient education resources to guide you through your surgery and recovery. These resources support patients referred to Monadnock Surgical Associates for general surgery, laparoscopic procedures, and post-operative recovery. These resources include:

Pre-surgery instructions
Post-surgery care tips
Nutritional and lifestyle recommendations
Educational materials about each procedure we offer.

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“It’s because of Dr. Kwitkin and his nurses that I have been able to strengthen my stomach muscles and return to my normal life,” Hiyam shares. “Everything was perfect, and I’m proud to say Dr. Kwitkin was my surgeon.”

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Exploratory Laparotomy
Open Lysis of Adhesions
Open Umbilical Hernia Repair with Mesh
Open Ventral Hernia Repair with Mesh
Open Inguinal Hernia Repair with Mesh
Port Placement with Image Guidance
Port Removal
Transanal Excision of Polyp
Wound Debridement

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Laparoscopic Appendectomy
Laparoscopic Cholecystectomy with Cholangiogram
Laparoscopic Colostomy Closure
Laparoscopic Colostomy Creation
Laparoscopic Lysis of Adhesions
Laparoscopic Partial Colectomy
Laparoscopic Sigmoid Colectomy
Laparoscopic Small Bowel Resection
Laparoscopic Umbilical Hernia Repair with Mesh
Laparoscopic Ventral Hernia Repair with Mesh

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Excision of Lymph Node
Excision of Pilonidal Cyst
Excision of Skin Lesion(s)
Excision of Subcutaneous Mass
Hemorrhoidectomy
Incision and Drainage

Thorough Assessment: Our surgeons take the time to fully assess your condition, explain your options and answer any questions you may have.
Minimally Invasive Techniques: Whenever possible, we use laparoscopic (minimally invasive) surgery, which typically results in smaller incisions, quicker recovery times, and less pain.
Personalized Treatment Plans: Each patient receives a care plan tailored to their specific needs, including procedure selection, surgical planning, and recovery guidance.
Comprehensive Follow-up Care: We provide detailed post-surgery instructions and regular check-ups to ensure you're healing properly.

Our surgical team is committed to making sure you feel comfortable and informed every step of the way. ) [_page_sections_4_wysiwyg] => Array ( [0] => field_5a79c5dfc5cca ) [page_sections_4_width] => Array ( [0] => normal ) [_page_sections_4_width] => Array ( [0] => field_5af99fbbc9de1 ) )