Affirming anorectal in Seattle, Washington
LGBTQ Care
Precision Proctology provides specialized care for concerns that are common in the LGBTQ+ community but are rarely addressed directly elsewhere, including painful intercourse, anal cosmetic concerns, and anal cancer risk. Every visit is with Dr. Kratz personally, a board-certified colorectal surgeon with more than 22 years of experience.
Care built around concerns other practices overlook
Several of the conditions on this page are specific to receptive anal intercourse, or carry elevated risk within the LGBTQ+ community, and general colorectal practices rarely address them directly. Precision Proctology treats them as a normal part of the practice, not a side note.
Consultations and procedures happen in a private room, and scheduling is discreet throughout. You will not be asked to explain yourself.
Consultations and procedures happen in a private room, and scheduling is discreet throughout. You will not be asked to explain yourself.
Care we provide
Botox for Painful Intercourse
Botox injected to relax the anal sphincter, easing discomfort during receptive intercourse and treating sphincter spasm.
Anal Aesthetics
Skin tag removal is performed by Dr. Rodney Kratz, a board-certified colorectal surgeon. Other treatments, including brightening, tightening, laser hair removal, and scar revision, are performed by Eli under Dr. Kratz’s supervision.
Anal Cancer Screening
A dedicated screening program for patients at higher risk of anal cancer, including men who have sex with men, following ANCHOR Study protocols.
Why patients choose this practice
One surgeon, start to finish. Dr. Kratz evaluates, treats, and follows up personally, not a rotating team.
No private-practice colorectal surgeon on the West Coast offers this combination of aesthetic and medical anorectal care in one place.
Same-day and next-day appointments available by call or text.
Patients travel from across the greater Seattle area, and from as far as Vancouver, BC, for this level of expertise.
What it costs
Medically necessary care, including anal cancer screening and treatment for sphincter spasm, is frequently covered by insurance. Aesthetic treatments are typically self-pay. Either way, our billing team reviews your benefits and gives you pricing before your visit.
Common questions
Do I need to be part of the LGBTQ+ community to be seen here?
Is my visit confidential?
Do you treat anal HPV and anal warts?
Will insurance cover any of this?
Do I need a referral?