Weight Management

Weight Management

Our experienced team of medical, surgical, neuropsychological and nutrition professionals are here to help you achieve your goals, providing guidance and education throughout your weight loss journey.


Weight Loss Options

Bariatric Surgery

Bariatric Surgery

If your weight is starting to affect your health and your way of life, and you’ve tried other weight loss methods without success, it may be time to consider weight loss (bariatric) surgery. Bariatric surgery has been life-changing for many people. Is it right for you?

Find a Provider

At Monument Health, you’ll receive expert care from a comprehensive team of healthcare providers and specialists. Our providers diagnose, treat and manage a wide range of health conditions and concerns. Find a provider who can help you understand your options and build a care plan around your individual needs.

Take Control of Your Health with MyChart

View test results, message your care team, schedule appointments, refill prescriptions, and access your records in one secure place.

Sign up today to manage your health anytime, anywhere.


General Surgery

General Surgery

Our surgical care teams in Rapid City and Spearfish include skilled, board-certified surgeons who provide evaluation and treatment for a full range of general surgery conditions. With advances in medicine, technology and anesthesia, surgery is far less invasive than it used to be. Patients recover more quickly, so they can get back to their lives. Our providers work collaboratively with a specialized support team to monitor your progress through recovery and beyond to ensure your best path to recovery.

Surgical Services Include:
Anti-reflux surgery, breast surgery, dialysis access, gastrointestinal surgery, hernia surgery, hemorrhoid procedures, surgical oncology (cancer), trauma and acute care surgery, thyroid, parathyroid and adrenal surgery, thoracic (mid-spine) surgery


Bariatrics

Bariatrics

If your weight has started affecting your health and your way of life, and other weight loss methods have not been successful, it may be time to consider weight-loss (bariatric) surgery.
Anti-Reflux Surgery

Anti-Reflux Surgery

Physicians at Monument Health specialize in the diagnosis and treatment of gastroesophageal reflux disease (GERD). We offer comprehensive care for your reflux disease, taking the time to work with you and your care team to develop a plan that is right for you.

Breast Surgery

Breast Surgery

We provide state-of-the-art diagnosis, prevention and treatment and work collaboratively with general and plastic surgery to determine the best course and sequence of treatment for you.

Find a Provider

At Monument Health, you’ll receive expert care from a comprehensive team of healthcare providers and specialists. Our providers diagnose, treat and manage a wide range of health conditions and concerns. Find a provider who can help you understand your options and build a care plan around your individual needs.

Take Control of Your Health with MyChart

View test results, message your care team, schedule appointments, refill prescriptions, and access your records in one secure place.

Sign up today to manage your health anytime, anywhere.


Gastroenterology

Gastroenterology

Monument Health Gastroenterology provides the highest level of care for a full range of digestive system diseases including general gastroenterology, hepatology and interventional gastroenterology with hepato-pancreatic-biliary interventions.

 


The number of digestive disease conditions leading to primary care physician visits and specialty referrals is progressively on the rise. At Monument Health, our Interventional Gastroenterologist and GI clinic team are committed to providing top-notch care for patients’ gastrointestinal complaints despite the complexity of their disease. Our team provides evaluation and defines treatment for a full range of digestive disease conditions — tailoring treatment plans to each patient’s specific needs with the goal of improving their functional status and quality of life.

The Gastroenterology Clinic is co-located with the General Surgery Clinic within the Rapid City Hospital to provide a multidisciplinary approach for our providers to work collaboratively as a team to monitor your progress and provide the best answers for your digestive disease complaints.

With advances in medicine and technology, Monument Health is now able to provide world-class Gastroenterology care, allowing our patients to receive the care they need right here in the Black Hills.

Conditions and Procedures

Take a virtual tour

Take a virtual tour of our state-of-the-art Endoscopy Suite, completed in 2024. This dedicated space has been designed to provide patients with a comfortable environment allowing Physicians and Providers access to cutting-edge technologies for procedures. Along the tour, you can see first-hand the advanced technology available in procedure rooms and spacious patient rooms, the modern design and patient-centered features implemented to provide high-quality care, close to home.

Find a Provider

At Monument Health, you’ll receive expert care from a comprehensive team of healthcare providers and specialists. Our providers diagnose, treat and manage a wide range of health conditions and concerns. Find a provider who can help you understand your options and build a care plan around your individual needs.

Take Control of Your Health with MyChart

View test results, message your care team, schedule appointments, refill prescriptions, and access your records in one secure place.

Sign up today to manage your health anytime, anywhere.


Emergency Medicine

Emergency Medicine

Monument Health Hospitals in Custer, Lead-Deadwood, Rapid City, Spearfish and Sturgis provide 24/7 emergency medical services. 

All Emergency Departments treat injuries, illnesses that are immediately life-threatening and other emergent conditions of both adult and pediatric patients. Teams of doctors, registered nurses, advanced providers and other specially trained staff are available 24 hours a day, seven days a week to treat anyone seeking emergency medical care. Each year, Monument Health providers see more than 75,000 patients in the emergency care setting.


Rapid City Emergency Department

In addition to treating more common urgent or emergent medical conditions, the Department of Emergency Medicine at Rapid City provides Level 2 Trauma services, caring for patients with extremely severe injuries and serves as a referral center for people with traumatic injuries throughout Western South Dakota, Western Nebraska, Western North Dakota, Eastern Wyoming and Eastern Montana.  

As the region’s only accredited stroke center, Rapid City Hospital’s award-winning Interventional Neurologists on the Stroke Care team are the area’s recognized leaders. The Heart and Vascular Institute is also the largest provider of full scale cardiovascular services in western South Dakota. These nationally-lauded services collaborate closely with the Emergency Department and are often the difference between life and death in emergent heart failure and stroke victims.

Monument Health Emergency Services & Medical Campus at 1911 East Mall Drive, Rapid City, SD. Exit 60 at I-90, across from the Toyota dealership.
New In Rapid City

Emergency Services & Medical Campus

On June 10, 2026, the Emergency Services & Medical Campus at 1911 East Mall Drive opened to meet the community’s growing need for emergency care. Just off I-90 at Exit 60, across from the Toyota dealership, the standalone emergency facility is more convenient for the growing Rapid City community along the I-90 corridor.

Doctors from the Emergency Department at the Rapid City Hospital will be delivering the same high-quality care and caring experience at this new location — specializing in Emergency Medicine, Lab On-Demand, Laboratory Services and Medical Imaging. It is open 24 hours, 365 days a year for all.

Sturgis Emergency Department

The Sturgis Emergency Department is state-certified as a South Dakota Department of Health trauma receiving hospital and a Centers for Medicare & Medicaid Services Critical Access Hospital (CAH).

Sturgis Emergency Department is a proud participant in the American Heart Association’s Mission: Lifeline acute stroke and post-acute stroke projects. Our participation in the Mission: Lifeline Stroke initiative demonstrates our commitment to quality care. We are proud to be a part of the American Heart Association’s efforts to turn guidelines into lifelines.

In addition, the Sturgis Emergency Department provides access to other providers who specialize in emergency care via Telehealth. 

Spearfish Emergency Department

The Spearfish Emergency Department is a South Dakota Department of Health Designated Community Trauma Hospital (CTH) open 24/7 and is fully equipped to care for patients of all ages in critical and urgent situations. With trauma-trained nurses and providers ready upon patient arrival, Spearfish ED evaluates, stabilizes and treats trauma patients with immediate ATLS-compliant care protocols and surgical resuscitation procedures prior to transfer (if required). We are also equipped with 24/7 laboratory services, medical imaging and respiratory therapy.

Backed by a Spearfish Hospital’s full range of services, including: Inpatient care, Labor and delivery, Intensive care and Surgical specialties, Spearfish ED is Staffed with experienced emergency medicine providers, including physicians and advanced practice providers, with increased staffing during high-volume midday hours. Immediate access to on-call specialists in General Surgery, Orthopedic Surgery and Obstetrics and Ear, Nose and Throat, ensures timely expert evaluation and intervention.

Lead-Deadwood Emergency Department

The Lead-Deadwood Emergency Department is state-certified as a South Dakota Department of Health trauma receiving hospital and a Centers for Medicare & Medicaid Services Critical Access Hospital.

Custer Emergency Department

The Custer Emergency Department is state-certified as a South Dakota Department of Health trauma receiving hospital and a Centers for Medicare & Medicaid Services Critical Access Hospital. Open 24/7, Custer ED offers outpatient infusion services for medication injections and infusions, 12-bed inpatient services, respiratory therapy, 24/7 Lab and Radiology and a doctor available 24/7. 

Leading Rural Health Care

Critical Access Hospitals

The Sturgis, Lead-Deadwood and Custer Emergency Departments are Critical Access Hospitals. CAH is a designation designed to improve access to healthcare by keeping essential services in rural communities. Eligible hospitals must be more than 35-miles away from the nearest hospital/CAH, maintain 25 inpatient or swing-beds and maintain 24-hour emergency care services 7 days a week.

Designated Trauma Hospitals

The Sturgis, Lead-Deadwood and Custer Emergency Departments are Trauma Receiving Hospitals. South Dakota divides trauma hospitals into five groups: regional, area, community, receiving and non-trauma. A trauma receiving hospital must maintain 24/7 emergency department coverage by physician, physician assistant or nurse practitioner.

Community Trauma Hospital (CTH)

As a CTH, Spearfish Emergency offers 24/7 physician coverage and surgical coverage for all trauma team activations, with trauma transfers for when surgery is not available.

All emergency staff maintain certifications in:
• Advanced Trauma Life Support (ATLS) through the American College of Surgeons
• Trauma Nursing Core Course (TNCC) through the Emergency Nurses Association
• Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS) through the American Heart Association
• Additional emergency care competencies and ongoing training

Find a Provider

At Monument Health, you’ll receive expert care from a comprehensive team of healthcare providers and specialists. Our providers diagnose, treat and manage a wide range of health conditions and concerns. Find a provider who can help you understand your options and build a care plan around your individual needs.

Take Control of Your Health with MyChart

View test results, message your care team, schedule appointments, refill prescriptions, and access your records in one secure place.

Sign up today to manage your health anytime, anywhere.


Ear, Nose and Throat

Ear, nose and throat

Monument Health’s otolaryngologists specialize in the diagnosis, treatment and surgical evaluation of ear, nose, throat, head and neck disorders. Whenever possible, we use minimally invasive, office-based treatments. However, when surgery is needed we offer a number of options, such as sinuplasty, septoplasty, rhinoplasty, thyroidectomy, parathyroidectomy, tympanoplasty and mastoidectomy.

 


We treat adults and children for conditions including:

  • Tumors or masses related to the head and neck
  • Sinus and allergic conditions
  • Thyroid and parathyroid disorders
  • Hearing and balance disorders
  • Snoring and sleep apnea
  • Salivary gland diseases
  • Nasal obstructions
  • Ear disorders including infections or perforations in adults and children
  • Speech and swallowing problems
  • Head and neck cancer
  • Facial trauma

Our specialties include:

Eustachian tube balloon dilation

For treatment of Eustachian tube dysfunction (ETD). The surgeon uses a catheter to insert a small balloon through the patient’s nose and into the Eustachian tube. Once inflated, the balloon opens up a pathway for mucus and air to flow.

Inspire® therapy

Inspire® therapy

Inspire therapy is a mask-free solution for people with obstructive sleep apnea (OSA) who have tried and struggled with CPAP. Through a simple-to-use system including the Inspire® implant, Inspire™ remote and Inspire® app, Inspire therapy enables you to control your OSA treatment from the palm of your hand.

Find a Provider

At Monument Health, you’ll receive expert care from a comprehensive team of healthcare providers and specialists. Our providers diagnose, treat and manage a wide range of health conditions and concerns. Find a provider who can help you understand your options and build a care plan around your individual needs.

Take Control of Your Health with MyChart

View test results, message your care team, schedule appointments, refill prescriptions, and access your records in one secure place.

Sign up today to manage your health anytime, anywhere.


Dialysis

Dialysis

Dialysis Centers in Rapid City and Spearfish provide a comfortable environment with high-quality care for our patients to undergo dialysis treatment. Our dialysis team coordinates closely with nephrologists to ensure patients receive the care they need. Please let us know if you have questions regarding our dialysis services.


Visiting the Black Hills?

If you are a dialysis patient traveling to the area who needs support during your stay, please don’t hesitate to reach out to us. We are here to help accommodate your needs and ensure a comfortable experience. Contact us in advance so we can assist in coordinating your care and making your stay as smooth as possible.

Take Control of Your Health with MyChart

View test results, message your care team, schedule appointments, refill prescriptions, and access your records in one secure place.

Sign up today to manage your health anytime, anywhere.


Dermatology

Dermatology

Whether you have a skin condition or simply want to improve your appearance, Monument Health Dermatology provides diagnosis and advanced treatment of skin cancer and up-to-date treatments for acne, psoriasis, eczema and other skin conditions. We also offer a variety of aesthetic services to fulfill your cosmetic needs. 

Our certifications include the American Academy of Dermatology, Society for Pediatric Dermatology, American Society for Mohs Surgery and American Society for Dermatologic Surgery.


Procedures

Medical Dermatology

  • Acne
  • Eczema
  • Psoriasis
  • Warts
  • Diseases of the hair, skin and nails
  • Rosacea
  • Skin cancer screenings and treatment options

Not all services are offered at all locations. Please check when you make your appointment.

Surgical Dermatology

  • Minor excisional surgery
  • Mohs micrographic surgery
  • Reconstruction after skin cancer
  • Excision of melanoma

Mohs Certification Seals for Dr. Knutsen-Larson and Dr. Gasbarre

 

Laser Surgery Treatments

  • Brown and red spots caused by photodamage
  • Facial rejuvenation
  • Rhinophyma
  • Scar revision and skin discoloration
  • Tattoo removal*
  • Vascular lesions
 * Available at the Spearfish Location

Not all services are offered at all locations. Please check when you make your appointment.

Cosmetic Dermatology

  • Care of sun-damaged skin and wrinkles
  • Chemical peels
  • Botox and filler injections
  • Kybella injection
  • Scar revision
  • Micro-needling
  • Cosmetic excisions

Not all services are offered at all locations. Please check when you make your appointment.

BARE HR Laser Hair Removal

Laser hair removal is one of the most popular cosmetic treatments offered today. This procedure saves patients countless hours of uncomfortable plucking, tweezing, waxing, and shaving by offering a longer-lasting hair removal option. While lasers have been used for decades to remove unwanted hair, science, and technology continue to progress and develop new and innovative lasers and application methods that improve the treatment process and results. One of the most recent laser hair removal innovations is the Bare HR laser hair removal system. This system boasts some of the fastest treatment times possible with application for all skin types, tones, and areas. Bare HR is truly revolutionizing the way dermatologists offer laser hair removal.

PicoWay Laser Treatment
Transform your skin from the inside out

PicoWay Laser Treatment

Laser treatment for acne scars, wrinkles, dark spots and tattoos

Find a Provider

At Monument Health, you’ll receive expert care from a comprehensive team of healthcare providers and specialists. Our providers diagnose, treat and manage a wide range of health conditions and concerns. Find a provider who can help you understand your options and build a care plan around your individual needs.

Take Control of Your Health with MyChart

View test results, message your care team, schedule appointments, refill prescriptions, and access your records in one secure place.

Sign up today to manage your health anytime, anywhere.


Counseling

Counseling

Licensed Clinical Social Workers (CSW) in Rapid City, Lead-Deadwood and Sturgis provide outpatient assessment and treatment in the medical clinic setting.

Social Workers collaborate with medical doctors, psychologists and psychotherapists as deemed necessary and often work in consultation with other service agencies such as schools, health providers, rehabilitation programs, courts and alcohol drug programs is. Inpatient psychiatric care and facilities are available if deemed appropriate.


Outpatient Counseling at Behavioral Health Center

Outpatient Counseling at Behavioral Health Center

Monument Health Behavioral Health Center provides comprehensive outpatient mental health services for children, adolescents, adults, and older adults through a multidisciplinary team of psychiatrists, advanced practice providers and Clinical Social Workers (CSWs). Our team is committed to providing compassionate, personalized care to help individuals improve their mental health and overall well-being.

Our providers evaluate and treat a wide range of behavioral health conditions, including anxiety disorders, postpartum depression, depressive & mood disorders, ADHD, bipolar disorder, PTSD and more.

Find a Provider

At Monument Health, you’ll receive expert care from a comprehensive team of healthcare providers and specialists. Our providers diagnose, treat and manage a wide range of health conditions and concerns. Find a provider who can help you understand your options and build a care plan around your individual needs.

Take Control of Your Health with MyChart

View test results, message your care team, schedule appointments, refill prescriptions, and access your records in one secure place.

Sign up today to manage your health anytime, anywhere.


Cancer Care

Cancer Care

We are a team of professionals trained to relieve pain and other symptoms, and offer emotional support. The goal is to improve your quality of life throughout your experience at Monument Health Cancer Care Institute. We work with your oncologist or nurse practitioner to make sure you are as comfortable as possible at any stage of your cancer diagnosis. We can also help you with working through everyday stressors and burdens, so you can focus on what is truly important to you.


Life After Cancer Treatment: You Don't Have to Navigate It Alone

Join our FREE Cancer Transitions program, a 4-week supportive journey designed to help you thrive beyond treatment.


Awards & Recognition

CANCERS WE TREAT

  • Acute Leukemia

  • Bladder

  • Blood

  • Breast

  • Colon and rectal

  • Esophageal

  • Gynecologic

  • Head and neck

  • Kidney

  • Liver

  • Lung

  • Lymphomas

  • Myeloma

  • Pancreatic

  • Prostate

  • Sarcoma

  • Skin

  • Stomach

  • Testicular

  • Thyroid

Introducing Gynecologic Oncology Care

Monument Health now offers specialized gynecologic oncology care for women facing cancers of the reproductive system. Our fellowship-trained experts provide advanced treatment with compassionate, coordinated support close to home.

Cancer Care Institute

Walking Forward

Walking Forward is a community-based program dedicated to reducing cancer disparities for American Indian communities across western South Dakota. Through patient navigation, education and clinical research, the program has served more than 5,500 community members across the region.

Walking Forward is now part of Monument Health Cancer Care Institute.

Cancer Research
Cancer Care Institute

Cancer Research

The Cancer Care Institute actively participates in clinical trials, allowing patients access to cutting-edge treatments and therapies. This involvement in research not only contributes to global advancements in cancer care but also offers local patients innovative options that may improve their outcomes and quality of life.

Find a Provider

At Monument Health, you’ll receive expert care from a comprehensive team of healthcare providers and specialists. Our providers diagnose, treat and manage a wide range of health conditions and concerns. Find a provider who can help you understand your options and build a care plan around your individual needs.

Take Control of Your Health with MyChart

View test results, message your care team, schedule appointments, refill prescriptions, and access your records in one secure place.

Sign up today to manage your health anytime, anywhere.