John S Mangione, MD

As others have mentioned, he didn't present himself to be a warm and fuzzy doctor. However, to be honest, this didn't bother me. I like having confidence in my doctors and would rather not know that they like watching The Real Housewives or that they ride a Harley. Dr. Mangione was direct and straight to the point without being condescending or pushy. Totally appreciated!

I will say this though... I did get a "fuzzy" moment from him when I was all gowned up and ready for my procedure; I became very nervous and started to well up a little. He looked at me, rubbed the top of my shins and asked, "How are you doing?" with a smile. That meant everything.

He is a great doctor and I had the utmost confidence in him.

I had truly one of the worst medical experiences of my life with Dr Mangione. For our initial consultation he was gruff and was irritated at me asking any questions. I had heard he was a good surgeon so I decided to go against my instincts and use him for surgery. The surgery appeared to go well, but the next day I was in severe pain and wrote his office. They told me that was normal. I then had more pain and a large swelling and I wrote again telling them that it was not going well and described what was happening. They said to send a photo (notice they didn't ask me to come into the office). I sent the photo and they said everything looked normal. I was in more pain and I finally had to tell them to put into my file that I believed I had a post surgical complication and that Dr Mangione was refusing to see me. Once they got the email (and realized that they were setting themselves up for a lawsuit by refusing to see me) they allowed me to come in. I came in, and once again Dr Mangione shouted at me, was rude and stated "I never said that I wouldn't see you!" I kept my mouth shut since I was in pain. At examination it turned out that indeed had a serious blood clot that needed further surgery. I asked for a different Dr in the practice to do the procedure since I had lost confidence in Dr Mangione, and Dr Mangione said "I won't let anyone else in my practice touch you and you will need to go schedule something with someone in Williamson county to get care." I was shocked at his response but was in so much pain I let him cut me again even though I was worried about his capabilities. After the surgery I was in such agony despite the pain meds that I almost checked myself into the ER. One month later the wound never healed and I am still suffering. Dr Mangione said that I need to have another surgery to fix the problem from him trying to correct the problem from the first surgery. I have now asked for all my medical records and have switched to another surgeon who is working to fix the problems from my interactions with Dr. Mangione. The new surgeon is actually friendly and is opening to answering questions and to discussing options, unlike Dr Mangione.
I would never ever suggest anyone use him. He needs to retire and do something that doesn't make him so angry and unhappy.

When I went to Dr. Mangione as a scared and clueless young woman who had been experiencing serious enough problems that I sought out to consult with a colorectal surgeon costing at least $100. During this consultation with him, he had a clear demeanor of disinterest. After I told him about my difficulty nearly in tears, he would only suggest the simplest solutions- doubtful that I could possibly be having any of the issues I went on to describe. Eager to move on with his day he actually wrote a mock prescription for over the counter Miralax. This was extremely disappointing and insulting. As a young person I was looking to him as a last hope, looking to an adult to care about me and teach me what he knew, recommend a path after listening to me with the fundamental concern a doctor should possess. That in the least, could have affected my life positively.
The hurt that has stuck with me about this doctor was when after every useless suggestion he had I kept assuring him that I was experiencing something of a greater caliber, he showed his true colors by raising the question of "even if you did need surgery, how would you pay for it"? It was clear at that point that Dr. Mangione had no intention of even listening to me until money was discussed. I think that could have been more tastefully raised once a plan about resolving my suffering was made. What about the money that I paid to sit and talk with him at that appointment? Surely that should have bought me a nugget of wisdom.
What I have found since that bleak meeting with Dr. Mangione as he sat superior behind his desk, is that my problem was better addressed by a godsend of a physical therapist specializing in pelvic floor. Sadly Dr. Mangione didn't have the tools to connect any dots from the symptoms I was having to recommending alternative avenues. I can't speak to the quality of his surgical work and I assume that's what others are mainly rating. My rating reflects how I lost years of quality in my life because I was first discouraged by this doctor, feeling like a laughing stock under an already personal subject matter. If your situation sounds like mine, I hope my review will prepare you on what you might expect from Dr. Mangione.

Here we go again De Mangione! You are a true hero!!! Thanks so much for all you do. The first time in years I feel like I have some control. :-).

If there is a better colon/rectal surgeon anywhere I've never met them!

Dr. Mangione is the kind of guy who, when you're in the hospital, and your nurse asks who your doctor is, and you say, "Dr. Mangione," they say, "Oh, wow - that's terrific!" Because they all know him, and they all think he's excellent.

How is his demeanor? He's extremely to-the-point. He's not going to treat you like a child and sugar coat things. This might come off as brusque, but really, you should appreciate that someone in the world acts like you're a competent adult, because that's a rare commodity these days. He will spend just as much time with you as you want, going over options, outcomes, side effects, and anything else you have questions about.

How is his care? Fantastic. The tops. A+. If I ever need someone to cut into my gut again, or know someone who does, I'm calling Dr. Mangione.

As a surgeon, this doc is the best of the best! He knows his stuff and has a ton of experience. What he does well is surgery.

On the other hand, I saw others post comments like, "He's not extraordinarily warm-and-fuzzy" and "He may seem a little crunchy at first" - let me tell you - that could become an important issue at times. When you're in pain, bedside manners can have a serious impact on your recovery (which is more than physical and also involves mental and emotional care as well). Some are experts in palliative care (for example, Dr. Rangwalla) but this is an area where Dr. Mangione is lacking.

My husband & I both have gone to Dr. M for a colonoscopy. Of course neither one really wanted to, but the experience we had with the staff & the Dr. & the procedure was very professional, easy & we felt like they cared & took great care of us.

If you have NOT gotten your colonoscopy & you are 50 yrs. old, PLEASE GET IT!!!

THE ABSOLUTE BEST! He listens. He is knowledgeable. He is honest. He is kind. I found him after a very bad experience with another surgeon. I have remained under his care for many years now, and he has me as a patient until he stops practicing or I stop breathing.

I would highly recommend Dr Mangione. I recently went to him for hemorrhoid banding. I have read several stories about how painful that procedure is. Dr Mangione kept telling me it would not be painful, but I really did not believe him. I was dreading the procedure.
It took only a few minutes and there was very little discomfort and definitely no pain. It has been two days and I have no pain or discomfort and bowel movements are not a problem. I really can not tell I have had anything done. It is amazing. Apparently the difference is the doctor's expertise at banding the hemorrhoids.
Brenda B.

Dr. Mangione deals with some... unpleasant medical conditions. He does so with the utmost professionalism and he knows his area very well. He is thorough and lays out your options and their associated success rates to empower you to make an informed decision about your care.

I don't even find his bedside manner to be lacking in any way as other folks have described- as an adult I value information and transparency and Dr. Mangione delivers both.