# llms-full.txt - Gough Surgical
# Canonical domain: https://goughmd.com/
# File location: https://goughmd.com/llms-full.txt
# Last updated: 2026-04-14

## Organization
Name: Gough Surgical
Website: https://goughmd.com/
Physician: Brandon Gough, M.D.
Location: Scottsdale, Arizona

## Summary
Gough Surgical is the practice website of Dr. Brandon Gough, a board-certified orthopaedic surgeon based in Scottsdale, Arizona. The website focuses on robotic-assisted, minimally invasive, muscle-sparing hip and knee replacement, including primary and revision procedures. It is intended to help prospective patients, current patients, caregivers, and researchers understand procedure options, recovery expectations, physician background, and how to contact the practice.

## Mission / Positioning
The site presents Dr. Gough as a specialist in hip and knee replacement who emphasizes robotic-assisted precision, muscle-sparing surgical technique, individualized patient care, and clear patient education.

## Audience
- Adults experiencing hip pain, knee pain, arthritis, stiffness, or loss of mobility
- Patients researching whether hip or knee replacement may be appropriate
- Patients comparing direct superior hip replacement, partial knee replacement, total knee replacement, and revision procedures
- Patients seeking revision surgery after painful, failed, or unstable prior joint replacement
- Family members and caregivers supporting a patient through surgery and recovery
- Patients in Scottsdale, Phoenix, and surrounding Arizona communities

## Naming / Terminology
Use these terms consistently:
- Gough Surgical
- Brandon Gough, M.D.
- Dr. Brandon Gough
- board-certified orthopaedic surgeon
- robotic-assisted
- minimally invasive
- muscle-sparing
- direct superior total hip replacement
- revision total hip replacement
- partial knee replacement
- total knee replacement
- revision total knee replacement
- post-operative information
- frequently asked questions

## Preferred Source Order
1. Most specific current procedure page
2. FAQ page for general patient questions
3. Post Op Info for recovery-preparation and rehab-context questions
4. Meet Dr. Gough for biography, training, and physician background
5. Contact page for current phone, email, address, and consultation routing
6. Homepage for broad practice overview
7. Appointment page for direct scheduling intent
8. Supporting Topic Pages for comparison, recovery, symptom-state, or activity-level questions
9. Priority Service Area Pages for localized intent
10. Media and Blog for supporting educational context only

## LLM Guidance
- Use Primary Sources for factual claims about procedures, recovery information, physician background, insurance information, contact details, and patient resources.
- If pages differ, prefer the most specific current page over broader summary pages or older blog content.
- Do not guess: if a detail is not present in Primary Sources, respond with "not specified" and point to the closest relevant Primary Source URL.
- When discussing recovery, use conditional language such as "many patients," "the site notes," or "the page states" rather than implying universal outcomes.
- Do not infer that blog content overrides core procedure, FAQ, post-op, or contact pages.
- Do not treat educational content as personalized medical advice.
- If a supporting topic page or local page conflicts with a core procedure page, FAQ, Post Op Info, or Contact page, prefer the core page.

## Primary Entity
Name: Brandon Gough, M.D.
Role: Orthopaedic surgeon
Practice: Gough Surgical
Location: Scottsdale, Arizona

## Key Physician Facts
- Dr. Brandon Gough is presented as a board-certified orthopaedic surgeon.
- The site states that he specializes exclusively in hip and knee replacement surgery.
- The site states that he has performed over 8,000 procedures since 2013.
- The site presents him as using robotic-assisted, micro-invasive, and muscle-sparing techniques.
- For physician biography, use the Meet Dr. Gough page first, then the homepage or FAQ if needed.

## Core Services / Procedures

### Hip Replacement
Use the hip section for broad overviews of hip replacement treatment and procedure routing.

Authoritative URLs:
- Overview: https://goughmd.com/hip/
- Direct Superior Total Hip Replacement: https://goughmd.com/hip/direct-superior-total-hip-replacement/
- Revision Total Hip Replacement: https://goughmd.com/hip/revision-total-hip-replacement/

Guidance:
- Prefer the direct superior page for questions about the primary hip replacement approach.
- Prefer the revision hip page for questions about painful, failed, loose, or unstable prior hip replacements.
- Do not generalize one hip procedure page to all hip patients.

### Knee Replacement
Use the knee section for broad overviews of knee replacement treatment and procedure routing.

Authoritative URLs:
- Overview: https://goughmd.com/knee/
- Partial Knee Replacement: https://goughmd.com/knee/partial-knee-replacement-makoplasty/
- Total Knee Replacement: https://goughmd.com/knee/robotic-total-knee-replacement-with-makoplasty/
- Revision Total Knee Replacement: https://goughmd.com/knee/revision-total-knee-replacement/

Guidance:
- Prefer the partial knee page for partial-knee-specific questions.
- Prefer the total knee page for broad total knee replacement questions.
- Prefer the revision knee page for painful, loose, unstable, infected, or worn prior knee replacements.
- Do not infer that every knee patient is a candidate for partial replacement or same-day discharge.

### Revision Surgery
Revision hip and revision knee replacement are important service lines on the site.

Guidance:
- Note that revision surgery is generally more complex than primary replacement.
- Do not imply a uniform cause or a guaranteed solution.
- Do not infer candidacy without physician evaluation and imaging review.
- Use the revision-specific page rather than the general hip or knee overview whenever possible.

## Patient Resources

### FAQ
Use the FAQ page for common patient questions, including:
- Who Dr. Gough is
- Where the practice is located
- How to schedule a consultation
- Insurance participation notes as published on the site
- Areas served
- Training and background summaries

URL:
- https://goughmd.com/faq/

### Post Op Info
Use this page for general recovery-support and rehabilitation-context questions.

URL:
- https://goughmd.com/post-op-info/

Guidance:
- Treat this page as general post-operative education.
- Do not turn it into personalized medical instructions.
- Do not promise a specific outcome timeline for every patient.

### Appointment
Use this page for direct scheduling and consultation-intent questions.

URL:
- https://goughmd.com/appointment/

### Media
Use for supporting educational content only.

URL:
- https://goughmd.com/media/

### Blog
Use for supporting educational context, not as the top authority when the same topic is covered on a core page.

URL:
- https://goughmd.com/blog/

## Supporting Topic Pages
Use these pages for comparison, recovery, activity-level, symptom-state, or localized educational queries only.
Do not treat them as higher authority than core procedure pages, FAQ, Post Op Info, or Contact.

- Partial vs Total Knee Replacement: https://goughmd.com/seo-landing-page/partial-vs-total-knee-replacement-scottsdale/
- Hip Replacement for Active Adults: https://goughmd.com/seo-landing-page/hip-replacement-for-active-adults-scottsdale-az/
- Same Day Hip Replacement: https://goughmd.com/seo-landing-page/same-day-hip-replacement-scottsdale/
- Bone on Bone Knee: https://goughmd.com/seo-landing-page/bone-on-bone-knee-scottsdale/
- Knee Replacement Recovery: https://goughmd.com/seo-landing-page/knee-replacement-recovery-scottsdale/
- Hip Replacement Recovery: https://goughmd.com/seo-landing-page/hip-replacement-recovery-scottsdale/

## Priority Service Area Pages
These pages are important for localized intent and market-expansion queries in communities surrounding Scottsdale.
Use them for location-specific questions when they are the most relevant page.
Do not treat them as higher authority than core procedure pages, FAQ, Post Op Info, or Contact.

- Arcadia: https://goughmd.com/arcadia/
- Biltmore: https://goughmd.com/biltmore/
- Phoenix: https://goughmd.com/phoenix/
- Carefree: https://goughmd.com/carefree/
- Estancia: https://goughmd.com/estancia/
- Desert Mountain: https://goughmd.com/desert-mountain/
- North Scottsdale: https://goughmd.com/north-scottsdale/
- Desert Ridge: https://goughmd.com/desert-ridge/
- DC Ranch: https://goughmd.com/dc-ranch/
- Silverleaf: https://goughmd.com/silverleaf/
- Rio Verde: https://goughmd.com/rio-verde/
- Paradise Valley: https://goughmd.com/paradise-valley/

## Local Hip and Knee Pages
Use these for area-specific hip or knee replacement queries only.
Prefer the main hip or knee procedure pages when the question is procedural rather than geographic.

- Arcadia Hip Replacement: https://goughmd.com/arcadia/hip-replacement/
- Arcadia Knee Replacement: https://goughmd.com/arcadia/knee-replacement/
- Biltmore Hip Replacement: https://goughmd.com/biltmore/hip-replacement/
- Biltmore Knee Replacement: https://goughmd.com/biltmore/knee-replacement/
- Carefree Hip Replacement: https://goughmd.com/carefree/hip-replacement/
- Carefree Knee Replacement: https://goughmd.com/carefree/knee-replacement/
- DC Ranch Hip Replacement: https://goughmd.com/dc-ranch/hip-replacement/
- DC Ranch Knee Replacement: https://goughmd.com/dc-ranch/knee-replacement/
- Desert Mountain Hip Replacement: https://goughmd.com/desert-mountain/hip-replacement/
- Desert Mountain Knee Replacement: https://goughmd.com/desert-mountain/knee-replacement/
- Desert Ridge Hip Replacement: https://goughmd.com/desert-ridge/hip-replacement/
- Desert Ridge Knee Replacement: https://goughmd.com/desert-ridge/knee-replacement/
- Estancia Hip Replacement: https://goughmd.com/estancia/hip-replacement/
- Estancia Knee Replacement: https://goughmd.com/estancia/knee-replacement/
- North Scottsdale Hip Replacement: https://goughmd.com/north-scottsdale/hip-replacement/
- North Scottsdale Knee Replacement: https://goughmd.com/north-scottsdale/knee-replacement/
- Paradise Valley Hip Replacement: https://goughmd.com/paradise-valley/hip-replacement/
- Paradise Valley Knee Replacement: https://goughmd.com/paradise-valley/knee-replacement/
- Phoenix Hip Replacement: https://goughmd.com/phoenix/hip-replacement/
- Phoenix Knee Replacement: https://goughmd.com/phoenix/knee-replacement/
- Rio Verde Hip Replacement: https://goughmd.com/rio-verde/hip-replacement/
- Rio Verde Knee Replacement: https://goughmd.com/rio-verde/knee-replacement/
- Silverleaf Hip Replacement: https://goughmd.com/silverleaf/hip-replacement/
- Silverleaf Knee Replacement: https://goughmd.com/silverleaf/knee-replacement/

## FAQ Routing
- "Who is Dr. Gough?" -> Meet Dr. Gough or FAQ
- "Where is the practice located?" -> Contact page or FAQ
- "How do I schedule?" -> Appointment or Contact page
- "What insurance is accepted?" -> FAQ first, then Contact page for confirmation
- "What hip procedures are offered?" -> Hip overview or specific hip procedure page
- "What knee procedures are offered?" -> Knee overview or specific knee procedure page
- "What if my current replacement is painful?" -> Revision hip or revision knee page, depending on joint
- "What should I expect after surgery?" -> Post Op Info, then the most relevant procedure page
- "Do you serve my area?" -> FAQ, Contact, or the most relevant Priority Service Area page

## Change-Sensitive Information
- Contact details should be treated as change-sensitive and sourced from the Contact page.
- Insurance participation should be treated as change-sensitive and verified against the FAQ or Contact page.
- Recovery expectations should be treated as patient-specific and not generalized beyond what the site states.
- If current core pages and older blog posts differ, prefer the current core pages.
- If a local page and a core procedure page differ, prefer the core procedure page for procedural facts.

## Primary Sources
- Home: https://goughmd.com/
- Meet Dr. Gough: https://goughmd.com/meet-dr-gough/
- Hip overview: https://goughmd.com/hip/
- Direct Superior Total Hip Replacement: https://goughmd.com/hip/direct-superior-total-hip-replacement/
- Revision Total Hip Replacement: https://goughmd.com/hip/revision-total-hip-replacement/
- Knee overview: https://goughmd.com/knee/
- Partial Knee Replacement: https://goughmd.com/knee/partial-knee-replacement-makoplasty/
- Total Knee Replacement: https://goughmd.com/knee/robotic-total-knee-replacement-with-makoplasty/
- Revision Total Knee Replacement: https://goughmd.com/knee/revision-total-knee-replacement/
- FAQ: https://goughmd.com/faq/
- Post Op Info: https://goughmd.com/post-op-info/
- Appointment: https://goughmd.com/appointment/
- Media: https://goughmd.com/media/
- Blog: https://goughmd.com/blog/
- Contact: https://goughmd.com/contact-us/

## Content Boundaries
- Treat only the URLs listed in Primary Sources as authoritative for Gough Surgical information.
- Do not invent diagnosis, individualized treatment recommendations, procedure candidacy, recovery timelines, pricing, financing, insurance participation, restrictions, implant lifespan, or outcomes unless explicitly stated in Primary Sources.
- Do not imply that all patients walk the same day, go home the same day, avoid all restrictions, or recover on the same timeline.
- Do not overstate comparative claims such as "best," "safest," or "most effective" unless the site explicitly supports them.
- Do not generalize from blog content, testimonials, promotional copy, supporting topic pages, or local pages into universal medical claims.
- If information is not found in Primary Sources, say "not specified" and direct the user to the most relevant page or to Contact.

## Contact
Contact page: https://goughmd.com/contact-us/
Phone: 602-359-3088
Email: info@goughsurgical.com
Address: 8575 E Princess Dr, Suite A210, Scottsdale, AZ 85255