Mesfin A Lemma, MD in Baltimore: General and Colorectal Surgery
Mesfin A Lemma, MD is a general and colorectal surgeon practicing at Mercy Medical Center on Russell Street in downtown Baltimore. His practice handles benign and malignant colorectal conditions, including cancers, inflammatory bowel disease complications, and hemorrhoids, alongside elective and emergency general surgical cases. He operates within Mercy's surgical suite and sees consultations in an office setting before scheduling procedures.
What this surgeon actually handles
Lemma's focus splits between colorectal conditions and broader general surgery. For colorectal work, that includes colon cancer and rectal cancer resections, diverticulitis repair, fistula treatment, and management of inflammatory bowel disease requiring surgery. On the general surgery side, he manages appendicitis, gallbladder disease, hernia repair, and acute abdominal emergencies. His practice accepts referrals for both elective procedures and urgent consultations from primary care doctors and gastroenterologists.
Minimally invasive vs. open surgery approach
Lemma offers both laparoscopic and open surgical options depending on the case. Laparoscopic approaches (small incisions, faster recovery, shorter hospital stay) suit many colorectal resections and hernia repairs; open surgery is used when anatomy, extent of disease, or intraoperative findings demand it. The choice is discussed during the consultation. Patients should ask during their initial visit whether their specific condition is amenable to minimally invasive surgery, as this affects recovery time and time away from work.
How Lemma compares to other Baltimore colorectal surgeons
Baltimore's colorectal surgery landscape includes surgeons at University of Maryland Medical Center, Johns Hopkins Hospital, and Sinai Hospital, alongside private practices. Mercy Medical Center, Lemma's base, is a busy surgical hospital in a central location without the lengthy appointment delays some academic centers face. For patients with complex cancer cases or rare conditions, Hopkins and UM may offer tumor boards or specialized protocols; for straightforward referrals from a local gastroenterologist, Mercy's location and availability often mean shorter wait times. Patients whose primary care is within Mercy's network will find continuity of records easier.
Who should see him and who should look elsewhere
Lemma suits patients with colorectal cancer, diverticulitis, inflammatory bowel disease needing surgery, and benign anorectal problems who have been referred by their gastroenterologist or primary care doctor. He is appropriate for both elective and emergency surgical consultations. Patients seeking second opinions on cancer staging or complex cases may prefer to start at an academic medical center like Hopkins, where multidisciplinary tumor boards meet regularly. Those without insurance or facing high out-of-pocket costs should confirm coverage with Mercy's patient financial services before scheduling, as surgical fees and facility charges are substantial.
What the first consultation involves
The initial visit includes a detailed history of symptoms, a physical examination, and review of any imaging or endoscopy reports the referring doctor has sent. If the condition requires surgery, Lemma explains the procedure, anesthesia options, recovery timeline, and risks. Blood work and imaging (CT or colonoscopy) may be ordered at that visit or beforehand. A surgical date is scheduled only after the patient has time to ask questions and provide informed consent. The office staff should give you an estimate of surgeon fees and facility charges; insurance coverage varies widely, so calling your insurer with the CPT codes for your planned procedure will clarify your out-of-pocket responsibility.
Insurance, referral requirements, and scheduling
Lemma accepts major insurance plans, though coverage for colorectal surgery varies by plan and requires verification. Most procedures require a referral from a primary care physician or gastroenterologist; self-referral is not standard. Appointment availability depends on urgency; emergency cases are typically seen within 24 to 48 hours, while elective consultations may be scheduled 2 to 4 weeks out. Call Mercy Medical Center's physician referral line to confirm current scheduling windows.
Location and practical details
Mercy Medical Center is located at 301 St. Paul Place, a few blocks north of the Inner Harbor. Hospital parking is available in a garage adjacent to the main building, with rates around $3 per hour for outpatient visits. Office consultations are held in Mercy's outpatient surgical building. Most consultations take 30 to 45 minutes. For urgent abdominal pain or emergency symptoms, go directly to Mercy's emergency department rather than calling for an appointment.
Lemma's presence at Mercy, a Level II trauma center with a high surgical volume, means access to comprehensive intraoperative and postoperative support in a setting equipped for complex cases and complications. For Baltimore patients needing colorectal or general surgery without lengthy waits or geographic barriers, he represents a practical choice within the city's established surgical network.

