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Dr. Mandy Rice is a dual board-certified Trauma/Surgical Critical Care and General Surgeon with extensive training and expertise in her field. Dr. Rice, along with her husband, Dr. M. Todd Rice, an anesthesiologist, owns and operates Direct Surgical Care of Hot Springs, located in Suite 274 of the Rix Professional Building. The Drs Rice have one daughter, Aubrey, who works part-time with them as a registered nurse in their clinic. They are occasionally accompanied by their two well-behaved Boxer dogs, Ayva and Julian, who enjoy being the official Clinic Support Staff. Dr. Rice and her family relocated to Hot Springs in July 2022, having developed a deep appreciation for the area, despite being natives of Texas.
Dr. Rice provides surgical care at multiple Hot Springs institutions, including National Park Medical Center, Pain Treatment Centers of America, and South Central GI Endoscopy, all located off of Malvern Avenue. Her practice encompasses a wide range of surgical procedures, with a particular focus on advancing robotic-assisted technology in both elective and emergency general surgery. She is committed to enhancing patient outcomes through the integration of these innovative techniques.
In addition to her surgical practice in Hot Springs, Dr. Rice continues to contribute to the high-acuity environment of the Dallas metroplex, where she provides Level I Trauma and Emergency General Surgery services on a monthly basis. This ongoing involvement in trauma surgery allows her to maintain and further refine her expertise in Acute Care Surgery, which she brings back to her patients in Hot Springs, ensuring they receive the most advanced surgical care available.
Dr. Rice also enjoys her other professional endeavors such as keynote and educational speaking. Keynote topics of interest include Wellness, Robotic Surgery, Being a Woman in Surgery, Personal Growth, and Living with Purpose. She regularly teaches ATLS (Advanced Trauma Life Support) and STB (Stop the Bleed!) classes in her community. Dr. Rice has a passion for mentoring surgical trainees as well as medical students, and is an active member of a physician suicide prevention group.
Dr. Rice and her family enjoy spending time together, exploring their local community, often visiting pet-friendly parks, stores, and boutiques. She also enjoys playing golf with her Women’s Golf Association friends at the Hot Springs Country Club.

Mandy Burton, APRN has over 28 years of dedicated experience in women’s health and brings a comprehensive and compassionate approach to patient care. Her career began in labor and delivery, where she served as an L&D nurse, flight nurse, charge nurse, and preceptor—roles that provided a strong foundation in acute obstetric care and leadership.
For the past 4 years, she has practiced as a board-certified nurse practitioner specializing in urogynecology. Since obtaining her APRN degree, she has become a Certified Menopause Practitioner through The Menopause Society, one of only 20 currently certified in the state of Arkansas.
A lifelong learner, she has pursued numerous advanced educational opportunities to deepen her expertise in midlife women’s health, including specialized training in hormone therapy prescribing, musculoskeletal syndrome of menopause, testosterone therapy, and hormone management after gynecologic cancers.
She is an active member of The Menopause Society, ISSWSH (International Society for the Study of Women’s Sexual Health), and AUGS (American Urogynecologic Society), and has attended multiple national conferences hosted by these organizations to stay at the forefront of evolving evidence-based care.
Her passion lies in supporting women through every phase of life, especially during the complex and often underserved menopausal transition, delivering personalized, informed, and empowering care.
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