When a patient is bleeding, it’s urgent to get the bleeding to stop. That urgency is one of the things that made Dr. Larry Koenig choose vascular surgery.
“When the chips are down, and you’ve got to stop the bleeding, that’s when we have to get involved,” Dr. Koenig said. “Let’s face it–everyone want to be a hero at some point.”
The precision and technology of the specialty was another draw for him.
“I like doing precise work, like sewing blood vessels together or picking plaque,” he said. “And the field is very technology-driven, with procedures like angioplasty and stenting.”
Dr. Koenig wasn’t always a vascular surgeon. He actually worked in biotech as a chemical engineer, then went into general surgery.
He grew up in Baltimore and went to medical school in Philadelphia. He did his vascular fellowship in Danville, PA, then moved to Fredericksburg.
Dr. Koenig says the team approach at VIVA is a huge benefit for patients.
“We’re the only board-certified vascular surgeons in town,” he said. “We work as a team with the interventional radiologists. You’re not just getting a ‘guy,’ you’re getting a team that’s as skilled and well-trained as anyone, anywhere.”
VIVA is also at the forefront of medical technology, which means patients have a vastly different treatment experience than they used to.
“It’s a game-changer, the fact that we do arterial treatment in the office on an outpatient basis–that used to be hospital-based and often required overnight stays,” Dr. Koenig said. “That’s not common in the industry.”
While the life of a surgeon doesn’t afford a lot of free time, Dr. Koenig spends most of his with his family. He also enjoys cycling and fishing.

Medical School: Jefferson Medical College
Graduation Year: 2003
General Surgery Residency: Union Memorial Hospital
Vascular Fellowship: Geisinger Medical Center
Boards: American Board of Surgery – General Surgery
American Board of Surgery – Vascular Surgery
Joined RAF: 2010