(936) 755-3244 Livingston

No Appointment Needed. Just Walk In.


  • Residency: University of Nebraska Medical Center
  • Internship: Mount Sinai Medical Center
  • Medical School: Medical College of Wisconsin
  • Undergraduate: Marquette University (Magna Cum Laude)


  • Adult Reconstructive Surgery
  • Hip Replacement Surgery
    • All approaches including minimal invasive anterior
    • Partial, Total and revisions
  • Knee Replacement Surgery
    • Unicompartmental, Total and Revision
  • Shoulder Replacement Surgery
    • Unicompartmental, Total and Revision
  • Adult Foot Reconstructive Surgery
    • Great Toe Bunion, Hallux Valgus and Arthritis Surgery
    • Lesser Toe Clawy, Hammer, Curley Toe and Bunionette Correction
  • Arthroscopic Surgery of the Shoulder and Knee
    • Meniscal Repair, Rotator Cuff Repairs and Arthroscopic AC Joint Resection
  • Adult and Pediatric Fracture Care of both upper and lower extremities
  • Hand Surgery
  • Carpel Tunnel, Trigger Finger Surgery and de Quervain’s Surgery
  • Ultrasound guided steroid injections
  • Diagnostic X-ray in office

Professional and Research Interests

Dr. Roy Guse is an orthopedic surgeon specializing in sports medicine and complex foot and ankle surgery. Dr. Guse has been practicing in Lufkin, Texas since 1997 and is an Adult Reconstruction and Joint Replacement Specialist. He brought to East Texas his extensive knowledge in joint replacement surgery as a result of his fellowship training at Hip and Knee Center of Fort Worth and thirteen years of orthopedic experience in the US Air Force. He spent his last 4 years at Wilford Hall Medical Center, San Antonio as the Orthopedic Deputy Department Chairman and Chief of the Adult Reconstruction Service. During that tenure he served as the consultant to the Air Force Surgeon General on advanced joint reconstruction.

Having conducted research on the osteoprogenitor effects of bone marrow cells and their ability to aid fracture healing, Dr. Guse is extremely interested in staying up-to-date with the latest orthopedic techniques to treat child and adult fractures.

Dr. Guse chose Lufkin, Texas to practice orthopedics because of the excellence and compassion of the medical community that is dedicated to offering the latest in cutting-edge joint replacement technology, such as Direct anterior approach flouroscopic guided total hip replacement and the Oxford partial knee replacement. Both of which shorten recover time.

“The Lufkin community is filled with many wonderful people and opportunities for my family and is close to my wife’s hometown. My medical philosophy is simple – treat every person with respect, teach you about your medical condition and offer you a variety of treatment options to choose from. My staff and I look forward to meeting you.”

Honors & Memberships

  • President Angelina County Med Soc 2005
  • Fellow American Academy of Orthopaedic Surgeons
  • Distinguished Graduate School of Aerospace Medicine
  • Top 10% Medical College of Wisconsin Graduate Class of 1983
  • Alpha Omega Alpha National Medical Honor Society Member
  • Graduated Magna Cum Laude Degree in Biomedical Engineering from Marquette University, Milwaukee, Wisconsin


Meet Our Other Physicians

Our Family of Services

Dedicated MRI The highest quality MRI imaging available at significantly lower, non-hospital rates Dedicated Urgent Care Orthopedic Specialists Available 7 Days a Week Dedicated Orthopedics Orthopedic Surgery, Joint Replacement, and Sports Medicine Specialists Dedicated Home Health Specializing in Orthopedic Home Health Care, Physical Therapy, and Rehabilitation Dedicated Urgent Care For all of your Non-life Threatening and Non-emergency Needs