1753 West Ridgeway Avenue, Suite 104 Waterloo, IA

We take care of ALL your breast care needs, not just for breast cancer.

We are the Breast Care Center. Many women and men have breast issues that are not cancer, but still require an individual approach to their needs.


The Breast Care Center has proudly served the Cedar Valley and surrounding areas since 2003. It was developed by Dr Douglas Duven with input by community members. We were the first and still are, the only Breast Care Center in the Cedar Valley with a surgeon designating 100% of his practice to breast care. Dr Jayson Gesme took over the practice in late 2016. Theresa Borcherding, ARNP has joined the Breast Care Center, providing high risk assessments, risk reduction options and routine breast care follow-up.

Breast Cancer Treatment is not one size fits all!! There are the different kinds of breast cancer, different grades (rates of growth), with varying characteristics. These will be explained by your surgeon and nurses. Depending on your specific situation – surgery may be first, but sometimes medical oncology treatments are first (chemotherapy, hormone therapy), followed by surgery. Radiation is used in some circumstances.

A primary care referral is not required, unless your specific insurance requires it.

We proudly support the
Pink TEAM.

A program of The American Society of
Breast Surgeons Foundation.

Before Your Visit

Please fill out and bring these pre-registration forms to help reduce your waiting time at the office.

Please bring your current insurance card(s) and photo ID to your first appointment.

Our Location

1753 West Ridgeway Avenue, Suite 104
Waterloo, IA 50701

Come in Entrance #6

Phone 319-833-6100
Fax 319-833-6102

Office hours

Mon – Wed 8:00am to 5:00pm
Thurs 8:00am to 4:00pm
Fri 8:00am to Noon

We also offer appointments at the Buchanan County Health Center on the first and third Wednesday afternoons. Call the above number to schedule an appt.


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This form is for general inquiries only. Please do not send any personal medical information using this form. If you need immediate assistance please call our office.