Sit Without Pain Again

Chronic Groin & Pelvic Pain Relief — Restore Comfort, Function, and Confidence

Find freedom from pelvic or groin pain with the nation’s leading experts in nerve, reconstructive, and urologic surgery.

Book My Evaluation

Check Candidacy

Chronic Groin & Pelvic Pain Relief — Restore Comfort, Function, and Confidence

Do Any of These Ring True?

(2+ might qualify)

Still Not Sure? Book Your Evaluation:

Takes < 60 seconds, HIPAA-Secure.

25+ Years

experience in advanced nerve reconstruction

98%

patient satisfaction score

Real People. Life-Changing Results.

David’s Story: Life-Changing Recovery After Pudendal Neuralgia Surgery with Dr. Small

Lauryn’s Story: Relieving Pelvic Pain with Pudendal Neuralgia Surgery

Luke’s Story: Finding Relief After Years of Searching

What Are My Treatment Options?

Our specialists perform advanced microsurgical and reconstructive procedures that target the root cause of chronic groin and pelvic pain so you can move freely again.

Pudendal Nerve Decompression Surgery: Relieves pressure on the pudendal nerve to reduce burning, tingling, or numbness in the pelvis.

Nerve Reconstruction Surgery: Repairs or reconnects damaged pelvic nerves to restore sensation and relieve chronic pain.

Targeted Muscle Reinnervation (TMR): Redirects injured nerves into healthy muscles to prevent neuromas and improve mobility.

Regenerative Peripheral Nerve Interface (RPNI): Uses muscle grafts to stabilize nerves and reduce sensitivity after injury or surgery.

Nerve Grafts: Bridges or replaces damaged nerve segments to restore normal function.

Decompression Surgery: Releases pressure on trapped nerves caused by scarring or prior operations.

Fat Grafting: Cushions sensitive nerves, softens scar tissue, and enhances comfort following nerve decompression.

Hernia Repair: Corrects chronic or recurrent hernias that cause nerve irritation or groin discomfort.

Feel Normal Again, Live Fully

Picture walking, sitting, or exercising without the fear of discomfort.

Move freely and confidently again

Sit or stand for long periods without pain

Return to work, travel, or intimacy comfortably

IFAR - ICON - Regain your independence and confidence copy-1

Regain your independence and peace of mind

Early Treatment Leads to Better Outcomes

The longer nerve-related pain persists, the more difficult it can become to reverse. Early evaluation gives you the best chance for lasting relief and restored function.

Book My Evaluation

Check Candidacy

Why Patients Around the World Trust The Institute

When other options to treat groin and pelvic pain have failed, patients turn to The Institute for Advanced Reconstruction for surgical expertise and proven results.

Unmatched Nerve Surgery Expertise
Our surgeons are international leaders in nerve, reconstructive, and urologic procedures for complex pelvic pain.

Collaborative, Personalized Care
We combine diagnostic precision, microsurgical innovation, and rehabilitative support to guide every patient’s recovery.

Recognized by Top Medical Authorities
Our specialists are nationally honored by Castle Connolly, NJ Top Docs, and peer-reviewed publications.

World-Class Hospitals, Local Compassion
Procedures performed at nationally ranked facilities.

Support for Traveling Patients
Thousands of patients travel from across the country and around the world for our advanced nerve-based solutions.

Your Path to Recovery

Consultation & Evaluation

A focused discussion of your symptoms and medical history with a pelvic nerve specialist.

Precision Diagnostics

Advanced imaging and testing pinpoint the exact nerve or structural issue causing pain.

Advanced Surgery Day

Microsurgical decompression or reconstruction to relieve pressure and restore normal function.

Guided Rehab

Customized rehabilitation and virtual follow-ups for steady, lasting progress.

Meet The Experts in Pelvic and Groin Pain Surgery

Our surgical team combines world-class microsurgical skill with compassionate care to help patients reclaim comfort and confidence. When others say it can’t be fixed, this is where patients find hope.

Select a Doctor

Chris Lakhiani, MD, FACS
Tzvi Small, MD, FACS
Hakan Usal, MD

Chris Lakhiani, MD, FACS

Dr. Lakhiani is one of the nation's few fellowship-trained peripheral nerve surgeons with advanced expertise in treating pudendal neuralgia. He develops personalized surgical plans to repair damaged nerves and restore mobility in patients with complex lower limb dysfunction.

Tzvi Small, MD, FACS

Renowned for complex nerve procedures, Dr. Small applies refined microsurgical skills to relieve long-standing pelvic pain and pudendal neuralgia through minimally invasive techniques.

Hakan Usal, MD

Dr. Usal is a board-certified plastic surgeon with fellowship training in microsurgery. He supports patients with pudendal neuralgia by using advanced reconstructive techniques designed to relieve pain, improve nerve function, and restore quality of life.

Traveling from Abroad?

Our team helps coordinate travel, lodging, and follow-up appointments for a seamless experience.

Start Your Journey

Insurance & Financing

We accept many major insurers, including Aetna, Horizon BCBS, Medicare, and UnitedHealthcare. Our team verifies benefits and guides you each step.

Call Now to Check Your Coverage

Ready to Reclaim Your Comfort?

You don’t have to live with chronic pelvic or groin pain. Relief may be closer than you think. Complete the form below or call us directly at 833-495-6652 to schedule your consultation.

Frequently Asked Questions

Who is a candidate for surgery to relieve groin or pelvic pain?

Anyone whose pain has not improved with conservative treatments such as medication or therapy.

Can nerve surgery help after a hernia or pelvic procedure?

Yes. Many patients experience nerve entrapment following surgery. Decompression or reconstruction can relieve this pain.

Do I need a referral?

No. Patients can reach out directly, though we collaborate closely with referring physicians.

Is surgery covered by insurance?

Most of our procedures are medically necessary and covered. Our team confirms coverage before scheduling.

Can surgery help with pain after childbirth or prostate surgery?

Yes. We often help patients whose pain began after childbirth, pelvic trauma, or prostate-related procedures.

What makes The Institute different?

We are one of the few centers worldwide offering comprehensive nerve, reconstructive, and urologic surgical solutions for chronic groin pain.