Congenital Consultation

Congenital Consultation

The news that your unborn baby may have a congenital defect can be frightening and overwhelming for a family. Our team of experts are available for you and your unborn child. As experienced pediatric surgeons, we collaborate with maternal-fetal medicine experts, pediatric anesthesiologist and neonatologist with one goal in mind: to deliver and provide the best care for your baby.

We offer highly specialized surgical care to treat a range of complex congenital anomalies including:

  • Congenital Diaphragmatic Hernia
  • Gastroschisis/Omphaloceles
  • Esophageal Atresia
  • Fetal mass and tumors
  • Tracheal Esophageal Fistula
  • Pulmonary anomalies
  • Intestinal anomalies
  • Ovarian anomalies
  • ECMO and EXIT procedures

We are committed to providing the highest quality of care from prenatal diagnosis to long term follow-up.  We are readily available for consultation and look forward to meeting with you.

Please call our office at (512) 708-1234 for an appointment or email Dr. Sanchez at

Our Team

Julie I. Sanchez, MD, FACS
Pediatric Surgeon
Dr. Sanchez is a long time Texan who went to Southwestern in Dallas for medical school. Her general surgery residency was at the Brooklyn campus of the State University of New York and her pediatric surgery fellowship was completed at Johns Hopkins in Baltimore. Dr. Sanchez has been taking care of the children of Central Texas. Her clinical mission is to provide expert diagnosis and surgical treatment of a variety of surgical conditions for children of all ages. Her scope of practice ranges from perinatal consultations and hernias, to complex surgical management of tumors, birth defects, short gut, traumas and minimally invasive surgeries. She leads the Congenital Consultation Program and is part of the Hepatobiliary Team. Dr. Sanchez teaches medical students and residents and is a Clinical Affiliate Faculty Member at the Dell Medical School.

Erich J. Grethel, MD, FACS, FAAP
Pediatric Surgeon
Dr. Erich Grethel is a board certified pediatric surgeon who has a special interest in pectus deformities and leads the Pectus Chest Wall Program at APS. Dr. Grethel lives in Austin, Texas with his wife and three children. He has been practicing pediatric surgery here since 2010. He is surgeon champion for the Dell pediatric NSQIP team and is involved in quality and outcome measures for pediatric surgery patients.

Michael D. Josephs, MD, FACS
Pediatric Surgeon
Dr. Josephs attended medical school at Georgetown University in Washington, DC. He completed a general surgery residency at the University of Florida in Gainesville and subsequently did his pediatric surgery fellowship at Cincinnati Children’s Medical Center. Among his other surgical interests, Dr. Josephs has been focused on hepatobiliary surgery since he came to Austin nearly 20 years ago. “I think my emphasis on precise surgical technique as well as surgical innovation are well suited to hepatobiliary surgery.” Dr. Josephs has assisted in the development of a number of novel surgical devices in order to advance the care of children’s surgery. He is a Clinical Affiliate Faculty member at Dell Medical School and teaches surgical residents and students.