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Services for adults and children

Bloodless Surgery

Medical care without transfusions

Legacy respects the religious and personal beliefs of everyone. That's why our bloodless surgery program exists — to provide medical care without blood transfusions to all appropriate patients.

International recognition

Established in 1991, the internationally renowned Legacy Bloodless Surgery and Medicine Program is the oldest in the U.S., and serves all specialties of both adult and pediatric medicine. Our program has worked closely with the Hospital Liaison Committee for Jehovah’s Witnesses since 1991.

We offer the program at Legacy medical centers, supported by our medical directors, program coordinators and a large staff of caring, highly qualified physicians, nurses and pharmacists. As a health care team, our goal is to take care of and respect each patient’s needs and concerns.

We are proud to take care of our patients as a team and continue to be champions of bloodless guidelines and protocols. Within each specialty, we are committed to patient safety and satisfaction. We are proud to offer many high-quality, safe and effective alternatives to blood transfusions. 


For more information 

To learn more about the Bloodless Surgery and Medicine Program, or to schedule an appointment:

  • Call 503-413-8396 or toll-free at 1-800-733-9952
  • Email us 
  • Pager 503-237-5617 24 hours/day

Trusted technologies

Acute normovolemic hemodilution (ANH): a blood conservation technique used in the operating room by an anesthesiologist. Some blood is lost in the process of surgery, however, since this blood has been diluted; it is "thin" or has few cells and more liquid. The anesthesiologist returns the blood that was removed and has the ability to give back to the patient fresh, whole, cell-rich blood at the right time.

Albumin: A protein made in the liver and distributed through the body by the circulatory system. Albumin helps maintain or increase blood pressure and blood volume. 

Blood salvage: Intra-operative cell salvage, or "cell saver" machines, collect and recycle blood lost in surgery. 

Clotting factors: Clotting factors are plasma to guide the thinning and clotting of blood.

Erythropoietin (EPO): A hormone that stimulates production of red blood cells in your bone marrow. Erythropoietin (synthetic) is made from a very small amount of albumin (0.01 percent), a protein fractionated from plasma donor blood. EPO is an option to consider for individuals with religious objections to taking transfusions.

Heart-lung machine: The heart-lung machine is used in heart surgery to recirculate and oxygenate the patient's own blood.

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