The man is an uncertified doctor, despite his website’s claim and his work is horrible. He performed a surgery on my ears to shorten my earlobes. I cannot even wear earrings anymore. I had an infection so bad that I had to be on antibiotics for a month. It just looks awful. I was going to have my neck surgery done by him as well, but there is no way I will now. I would not recommend him, it is too big of a risk.
Gerard Gianoli MD Ear and Balance Institute, Don’t trust your aesthetic at the hands of Dr. Gianoli

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Dr. Gianoli is a one-size fits all doctor. He completely misdiagnosed my problems and because of it I have been in much worse shape than when I first went to him. He takes terrible notes and he was not at all receptive to learning that he was not correct. As a result of his treatment, and the drugs he prescribed, I have terrible tinnitus due to his surgery. It has taken me a long time to get back to where I was (which was uncomfortable enough) before I saw him. I would recommend seeing other doctors who have experience with head trauma if you have balance problems and you have had head injuries, as there are reasons other than the inner ears that can cause inequilibrium.
Did you ask yourself why insurance isn’t accepted? And why the focus is on ‘rare’ controversial diagnoses?
They hand out expensive treatments and controversial diagnoses like candy.
Go some place reputable.
Do NOT, Absolutely do Not go to Gerard Gianoli. He will tell you that you have an inner ear fistula if you have balance problems, put you on horrible medications that will make you much worse and then convince you that you need surgery. Once done with the surgery, you will feel even worse and he will not acknowledge unless it is to say that the problem is that your other ear needs surgery, too. He IS a scam artist.
Dr Gerard Gianoli is very good at what he does, lying and scamming people! Seems like the majority of patients get the same disgnoses of plf and he wants to perform surgery. Of course in the beginning he makes it seems like surgery is the last options and it can be managed with lifestyle change, then medicine….when that doesnt work then he will lead you to believe surgery is the only option. After he said surgery was last option I decided to get another opinion, now 8 month after seeing a new team of doctors that I never had what Gianoli claimed I did. I am being treated for vestibular migraines and have had zero dizziness. I now have my life back! When under the care of Dr Gianoli I couldn’t drive, couldn’t take care of my kids; barely myself. Being late 20s, I was ready to give up and after reading about his botched surgeries I am happy I was not another victim.
Dr Gianoli forwarded my records to new doctor and no where in my records did he ever mention the diagnosis of plf or that he was urging me to have surgery. Seems to be what he did with many patients.
Lucky the people who were saved from Dr. Gianoli. He messed up my right ear so badly. He is a lying crook because I never had a PL Fistula in my ear and no doctor can fix his butchery because legit neuro-otologist don’t do PLF surgeries and they cannot fix irreversible damage from non-legit surgeries. In Germany these type of doctors satisfied their racism and perversity. Gianoli is satisfying his greed and perversity and the State of Louisiana allows this white collar institutional crime.
I saw Dr. Gianoli five times and every time he gave me a new misdiagnosis. He insisted my vertigo that kicked in immediately after his surgical procedure had to do with the other ear. What an unlikely calamity. Really? On the same day of the surgery? When I told him about the pain in my ear, he told me there wasn’t any pain in my ear. One thing is for certain: this doctor who brags on his expertise serves probably two lords, one of them is mammon. The Lord of Greed. Beware of anyone who claims to be “an expert.” Most experts in any industry will NEVER claim it. They may show it to you, but you won’t hear them or others claiming it. In many cases, when someone claims he or she is an expert, he or she is a con artist who is trying to cajole you into taking his or word without any outside verification. When in doubt, step back and doubt. Studies show there are more sociopathic doctors than previously suspected and one of their gaslighting tactics is the good ole “I’m an expert” claim.