As my referring doctor told me, "he's the guy the doctors go to." Dr. Guanche really lived up to his stellar reputation. I needed a hip arthroscopy. I'm 2 wks post-op and I can't believe how much better I feel already. His team has kept in contact with me non-stop (I had many questions). Everyone he works with is professional, from the receptionist to the doctor assistant. If I need to do the other hip, I only want Guanche. He's simply brilliant, incredibly talented and charming to boot.
Dr. Guanche is amazing! Not only is he a great surgeon, but he is also very personable and kind! He definitely makes you feel very comfortable in a stressful situation (surgery). He did arthroscopic labral repairs on both of my hips. I highly recommend him to anyone having hip issues!
I've been a patient at Dr Guanche's office for about 5 years and I have always felt like I was in good hands. He has always been honest and clear about my conditions and spot on with treatment. I recently had sugery and particularly liked the HealthLoop App that allows patients to stay connected with their doctor and the whole team immediately after surgery and through the next two weeks. It was cool to get a reminder from the app to check in & ask questions about the recovery process
Dr gauanche and all the scoi staff are friendly and the best in the industry. If you want your surgery to be done by the best then go to scoi.
I had been with another doctor through one surgery all ready, but I was beginning to feel crazy because I still had the same pain I had before the surgery and he wasn't finding the source. ONE TRIP to Dr. Guanche and he figured out exactly what was wrong and it explained every single one of the symptoms I was having. I about cried with joy that there really was a reason for my pain all this time. I highly recommend him and his team.
Knowledgeable and friendly, same goes for his staff, with a special shout out to Audrey. No regrets in choosing him to do my total shoulder replacement.
Dr Guanche was very thorough in looking at my multiple injuries. He has a wonderful bedside manner, made my husband and I feel very comfortable with him. Now that the surgery is complete, I can say that he also does a wonderful job. he took as much time as I needed for him to answer my, and my husbands questions before the surgery. He didn't seem to be in a hurry to get out of the room, or that we were bothering him with all our questions. he has still maintained his kind professionalism
I have had several procedures for my knees. My experiences with these procedures has been just satisfactory or even less than satisfactory. My experience with Dr. Guanche has been very professional and yet he makes it personal when you visit him and his team. I would recommend him very highly as he has made my experience the best it could be. Thank you Dr. Guanche!
Dr. Guanche and his team were very organized, friendly and helpful. My arthroscopic hip surgery went well and my pre-operative pain/symptoms were gone immediately. I did not take any pain medicine after leaving the Surgicenter.
I work for an orthopod here in Visalia, and chose to seek treatment with Dr. Guanche, as I was told he is "the best" for hip issues. Seeking treatment with Dr. Guanche was one of the best decisions I have made. He knew exactly what my problem was within 5 minutes in my exam room. Never have I felt so confident in a provider before. The entire staff was amazing as well! I will recommend him to all of my family and friends.
I've been going to De. Etcheverry for many many years! He is not only an incredible physician, he is kind and with excellent bedside manner! In she tried he is the best there is!
Very pleasent manner. Does not rush you in and out, and gives a complete and understandable explanation of the procedure. Has replaced both of my shoulders with a very successful result. He also successfully repaired the shoulders on my nephew and granddaughter. I recommend him to everyone I know that has a problem.
Great! Great surgeon, good with office visits. Speaks to patients and explains everything in easy to understand terms. He also has a wonderful surgical staff who are knowledgeable and friendly to help ease any fear of surgery you may have.
Dr. Guanche is a true professional with a caring bedside manner you'll unfortunately not always find. He's knowledgeable, a great listener, and thorough. Your lucky if he's your doctor! Julie
The whole team was very nice, and Dr. Gaunche diagnosed the problem right away, and answered all questions unhurriedly.
I can't say enough about the amazing experience I had. Dr. Guanche and his team are amazing and my knee surgery and rehabilitation went very smoothly. Dr. Guanche is attentive, personable and truly takes him time to explain every aspect of your diagnosis and treatment. Total ease to schedule appointments and the entire staff is extremely friendly.
Dr. Guanche is professional,thorough, empathetic and is precise on what he needs to do. His team of people who work with him ALL are informed of your situation and are capable of answering any questions. I had peace of mind and reassurance knowing I was in good hands.
Dr. Guanche is my only choice for orthopedic hip, knee and shoulder surgery. I have a lot of joint issues so I've had my right hip, knee, shoulder and left shoulder all repaired by Dr. Guanche in the last 10 years. He and his staff a outstanding. He never suggests surgery first. He always tries PT or maybe a cortisone shot. Only when quality of life is an issue will he discuss surgery. Each pre-op, surgery, post-op and recovery has been perfect.
I have seen a countless amounts of doctors and have had many surgeries and this entire experience is the best experience that I have ever had. Dr. Guanche is truly wonderful. Any questions that you may have are answered immediately (and I had many) and they are answered in a thorough manner. The surgery and the care by far exceeded my expectations. I can't even see where my incisions were. My hip arthroscopy went very well.
Dr. Guanche is great. Very experienced and knowledgeable in his field and kind and patient with his patients.
I'm 15 yrs old and needed hip surgery for FAI and labral tear due to a sports injury. We knew about Dr Guanche because 7 years ago he successfully repaired both my mom's hips as well as my aunts hip from FAI and labral tears as well. Dr Guanche was great to work with. He made me feel comfortable, and he gave me confidence that I would be able to play sports again. I woke up from surgery feeling good, and have been recovering really quickly. Thank you Dr Guanche!
Just had my second hip surgery by Dr Guanche. He is great. Very kind and personable. Amazing at what he does
I only saw Dr. Guanche a couple times but he made me feel very comfortable and easily answered all my questions.
I have chosen to travel 4 hours to see Dr. Guanche because I knew that he was a great surgeon and my previous experience with him and his team was very good. He has done everything he can to accommodate the distance and still provide me me with great care. I have quick and easy access to him and his team and they are very good about responding. I will choose him as my surgeon again should the need arise!
I was very happy to find Dr.Guanche, I find it extremely helpful that he speaks my language...he is very caring and explains everything in a way you understand and feel secure about your procedure!!!
Dr. Gauche is the best. My situation was simple, here it is. Seventeen weeks of sciatic nerve entrapment and pain 8/10. Consulted six doctors and tried various medications with little relief. Dr. Guanche surgically decompressed the nerve and I have been pain-free since waking up in post op. He's a real pro!
Dr. Guanche is a superstar among orthopedic doctors. I "doctor shopped" three other doctors before I found him and was enthusiastically referred to by a previous patient. He is easy to talk to and offers unalloyed information about your condition, pre and post operation. His team follows up religiously and there is little waiting time. I recommend him to anyone who is contemplating orthopedic surgery. He is the best.
Excellent staff and care .Very good follow up .
Dr was good. Surgery went very well and the Dr listened to me and answered some of my questions. However the office I am not happy with. Very poor communication. Office is very busy and I respect that but I feel that because the office is busy and so are the doctors you become a number and get lost in mist of this busy office. I had other issues that we not addressed and my all over care was not great . I felt that my best interest of care was lost . Overall Dr was good but that is it.
Dr. Guanche was my 2nd opinion Dr. and after speaking to him, I felt very confident to go ahead with my procedure. He seemed to assure me that he had done my procedure many times before which really gave me confidence. And, best of all, I am doing very well with my recovery, even better than anticipated. Thank you also to the SCOI surgery center who were very professional.
Never seems rushed.........always take all the time needed to explain procedures to me.....and to answer all my questions.
Caring ,simple,informative ,professional
First and foremost he's a phenomenal surgeon. Secondly, he's a nice guy with great people skills. Too many Drs out there have zero bedside manners.
I just had arthroscopic hip surgery with Dr. Guanche and I'm so pleased! It's been just 2 weeks (today) since the surgery; I never had to take pain medicine, the scar is healing beautifully, and Dr. Guanche has always been the consummate professional, while also being kind and caring. I had full confidence in him before the surgery, based on my earlier appointments, which included cortisone shots. I couldn't recommend him more highly.
My experience with Dr. Guanche and his team of professionals was extremely positive. This was an experience made much better by the excellent and supportive care that I received from this group, and I would not hesitate to recommend this office to anyone.
This is my second surgery performed by Dr Guanche and if that isn't a recommendation, I don't know what is. He is a true professional, and very personable and easy to talk to. I wish he was a neighbor.
This is my second surgery with Dr Guanche and although the recovery this time isn't as easy as last, I can't complain. Dr Guanche and the team he uses are professional, courteous, compassionate, prompt, and know their jobs. I travel nearly four hours to get this service and will continue to do so in the future when it's time for my next upcoming surgery. Hands down, no question the best treatment I've ever had.
Dr Guanche is the kindest most caring Dr I've ever been too, if you want the best he is the very best
Dr. Guanche is very kind and knowledgeable. I tried for 2 years to figure out why I was having so much hip pain. He figured it out confidently in just a few minutes. I am only 2 weeks post op, but feeling very hopeful that I will have a lot of pain relief once healed.
Destroyed my hamstring. Two revisions required. Destroyed my friend's hamstring- one revision required. Terrible judgment- stay away.
Very personable and i felt confident going in. I've had two surgeries with him and they have been relatively easy.
Dr. Guanche's commitment was providing expertise throughout my care and surgeries. He shows great kindness, patience, and professionalism, always willing to answer any questions I had over the course my treatment. My surgeries have resulted in really positive and seamless recovery, follow up care is spot on, he has a great system of daily checkin's post surgically, leaving you with a true sense of being cared for and connected to him and his staff. A remarkable & life changing experience for me!
Dr. Guanche cares about the whole patient,. I was not just another hip to him or his staff. They are all concerned with the patient having not only a great surgical outcome... But a good recovery. I felt very valued and considered and heard. Dr. Guanche and his whole staff are exceptional. It didn't hurt that they all also had a good sense of humor...i would recommend Dr. Guanche 100% and i would return to him myself in a heart beat. Mary G
Dr Etcheverry is a wonderful Dr. He really cares about his patients he was very thorough in explaining everything to me! I would recommend him to my very own children if they ever needed it.
These people are truthfully as good as it gets. Dr Guanche conducts a finely tuned orchestra of brilliant healers. I walk today because of him.
An awesome Doctor, very knowledgeable and very nice.
Wonderful and Friendly Staff! Very clean environment! Never problem with scheduling! Never have to wait! When I have arrived early because I am coming from out of town, the have always worked me in! Bianca has been amazingly helpful! She is always so friendly and answers all my questions. I love the HealthLoop system!
This was the best doctor I could have ever asked for. He treated my hip injury with excellent care & expertise.
4 friends from my area had either gotten their own surgery or kids' surgeries and finally convinced me to see him. Well worth it. Had arthroscopy of my knee and it was very quick and healing well. Will be doing hip surgery within the next 2 months and sure he will do as excellent a job. Very kind and listens to your concerns, doesn't try to rush you through and extremely quick to come to the room once you are sent in for apointments. Wonderful! I will be telling even more people how great he is!
Dr. Shapiro was fantastic. I can't recommend him enough!

Arthroscopic Shoulder Surgery
Glenoid Labrum Repair
Knee Arthroscopy
Reverse Total Shoulder And Total Shoulder Replacement
Shoulder Fracture And Dislocation Treatment
Shoulder Reconstruction
Shoulder Replacement
Shoulder Resurfacing
Shoulder Stabilizations
All Shoulder Or Elbow Replacement Procedures
Arm Surgery
Arthroscopic Joint Surgery
Arthroscopic Shoulder Reconstruction
Arthroscopic Shoulder Repair
Elbow Arthroscopy
Elbow Fracture And Dislocation Treatment
Elbow Fracture And-Or Dislocation Treatment, Open
Elbow Ligament Reconstruction
Elbow Reconstruction
Elbow Replacement
Elbow Surgery
Elbow Tenotomy
Excision Of Tibia Or Fibula
Fracture Care
Hand And Wrist Fracture Treatment, Closed
Hand And Wrist Fracture Treatment, Open
Hip Arthroscopy
Hip Fracture And Dislocation Treatment
Hip Fracture And-Or Dislocation Treatment, Closed
Hip Fracture And-Or Dislocation Treatment, Open
Hip Labrum Repair
Hip Replacement
Hip Resurfacing
Knee And Lower Leg Fracture Treatment, Closed
Knee And Lower Leg Fracture Treatment, Open
Knee Cartilage Implantation
Knee Cartilage Repair
Knee Ligament Reconstruction
Knee Surgery
Knee Tendon Repair
Multi-Ligament Knee Reconstruction
Nail Avulsion And Excision
Partial Shoulder Replacement
Revision Of Shoulder Or Elbow Replacement
Rotator Cuff Surgery
Shoulder Dislocation Treatment
Shoulder Fracture Treatment
Shoulder Surgery
Steroid Injection
Total Shoulder Replacement
Viscosupplementation With Hyaluronate
CA, Bakersfield, CA, 93309
Southern California Orthopedic Institute
(661) 328-5565
Southern California Orthopedic Institute
2400 Bahamas Dr Ste 200