Welcome to Michigan Hernia Surgery The online home of Level One Surgical Specialists, Randy Janczyk, M.D., F.A.C.S., and Anthony Iacco, M.D. We are general surgeons specializing in the care of patients with hernias and abdominal wall disorders that may require hernia surgery and /or abdominal wall reconstruction for repair. This website is intended to help educate our patients about hernias and other common general surgical issues. Information is provided to help patients understand what hernias are, if and when they require treatment, and what treatment options are available for the best success with the least amount of risk. We are continually building and improving this website to help our patients participate in their care and make informed decisions.