Gerard Gianoli



  • Third Party Free Medical Practice
    • Cash-based Medical Practice or Free Market Medical Care)
  • Current Health Care Economics from an “in the trenches” viewpoint

Travels From:


r. Gerard J. Gianoli specializes in Neuro-otology and Skull Base Surgery. He is in private practice at The Ear and Balance Institute, located in Covington, Louisiana and is also a Clinical Associate Professor in the Departments of Otolaryngology and Pediatrics at Tulane University School of Medicine.  
He pioneered treatments for Superior Semicircular Canal Dehiscence and other vestibular disorders. His private practice has a worldwide reach, with patient referrals coming from all over the United States, Europe, Asia and elsewhere. Dr. Gianoli was a major focus of the book “A Hole in My Life” (2016) by Philippa Thomson.
He has received numerous awards, including the American Academy of Otolaryngology’s Honor Award, and has been named in America’s Top Doctors and America’s Top Physicians every year since their inceptions in 2001 and 2003 respectively. Dr. Gianoli practices all aspects of neuro-otology but has a special interest in vestibular (balance) disorders. He has researched, lectured and published extensively on the topic of vestibular disorders, including evaluation of dizziness in the litigating patient and identification of malingering. He was the primary investigator for a NASA study that led to non-invasive intracranial pressure assessment to be used in the International Space Station.
Dr. Gianoli opted out of Medicare in 2001 and has had a 100% third-party-free practice since 2005. He’s lectured and written extensively on third party free medical practices and free market medicine. His editorials have appeared in The Wall Street Journal, Forbes, Investor’s Business Daily, The Hill and other popular periodicals. His media interviews have spanned the nation, including interviews on Fox News and National Public Radio. He has been an active member of the Association of American Physicians and Surgeons and DocSquads – both groups who are ardent advocates of free market medical practice. He is also on the board of policy advisors for the Heartland Institute and served on the national medical coalition of Dr. Ben Carson’s presidential campaign.

Recent Speaking

  • Annual Meeting of the American Academy of Otolaryngology-Head and Neck Surgery
  • American Association of Physicians and Surgeons
  • Meeting of the Tri-County Medical Society

Past Presentations

Book Me