Patients treated at specialized pleural mesothelioma centers experience significantly better postoperative outcomes than those treated at general hospitals — including lower 90-day mortality rates and fewer complications, according to a National Cancer Database analysis [1]. These six leading facilities employ dedicated high-volume mesothelioma surgeons, offer access to cutting-edge clinical trials, and provide multidisciplinary teams dedicated exclusively to this rare cancer. Choosing the right treatment center is one of the most important decisions you'll make after diagnosis.
Executive Summary
Specialized mesothelioma treatment centers offer significantly better postoperative outcomes than general hospitals due to surgeon expertise, clinical trial access, and dedicated treatment teams. The six centers profiled here—MD Anderson, Memorial Sloan Kettering, Brigham and Women's, Mayo Clinic, Moffitt Cancer Center, and UCLA—each treat 100+ mesothelioma patients annually and offer unique strengths in surgery, immunotherapy, and supportive care. A National Cancer Database study found that 90-day mortality after pleural mesothelioma surgery was 10.0% at high-volume facilities compared to 14.6% at lower-volume centers [1]. Most insurance plans cover out-of-state treatment at these facilities. Getting care at a specialized center is worth the travel investment for most patients.
8 Key Facts About Specialized Mesothelioma Care
- Postoperative Outcomes: Significantly better at high-volume specialized centers [1]
- 90-Day Mortality: 10.0% at high-volume facilities vs. 14.6% at lower-volume centers [1]
- Fewer Complications: Lower readmission rates and shorter hospital stays at high-volume centers [1]
- Clinical Trials: Most mesothelioma trials are concentrated at NCI-designated specialized centers [3]
- NCI-Designated: All 6 centers are NCI Comprehensive Cancer Centers [4]
- Multidisciplinary: Teams include 10+ specialists per patient [1]
- Annual Patients: Each center treats 100+ mesothelioma cases yearly [2]
- Second Opinions: Available at all centers, including telemedicine
Why Does Treatment Center Choice Matter for Mesothelioma?
Mesothelioma is a rare cancer—only about 3,000 Americans are diagnosed annually [5]. Most oncologists and surgeons see very few cases of this cancer in their entire careers. This rarity makes specialized expertise essential for optimal outcomes.
90-day mortality at high-volume vs. lower-volume facilities after pleural mesothelioma surgery [1]
Research published in Lung Cancer (Verma et al., 2018) found that patients treated at high-volume facilities had significantly better postoperative outcomes — including lower 90-day mortality and readmission rates — than those treated at lower-volume centers [1]. Our survival data comparison of 10 leading centers details the peer-reviewed evidence behind these outcomes. The difference was particularly relevant for complex procedures like extrapleural pneumonectomy and pleurectomy/decortication.
"In my 18 years coordinating mesothelioma patient care, I've seen the difference specialized centers make. The surgeons at these facilities have performed hundreds of these surgeries—they've seen every complication, every variation. That experience translates directly into better outcomes."
— David Foster, Executive Director of Client Services, Danziger & De Llano
What Specialized Centers Offer
- Expert surgeons: Doctors who focus exclusively on this cancer
- Multidisciplinary teams: Oncologists, radiologists, pathologists working together
- Clinical trials: Access to newest treatments before FDA approval
- Accurate staging: Proper diagnosis drives treatment decisions
- Supportive care: Pain management, nutrition, psychological support
The mesothelioma treatment centers guide provides additional information on what to look for in a specialized facility.
1. MD Anderson Cancer Center (Houston, Texas)
MD Anderson Cancer Center is consistently ranked among the top cancer hospitals in the United States. Their mesothelioma program treats over 150 patients annually and offers one of the most comprehensive treatment approaches available.
Key Strengths
- Surgical expertise: Pioneering techniques in lung-sparing surgery
- Clinical trials: One of the largest trial portfolios for this disease
- Immunotherapy focus: Leading research in checkpoint inhibitors
- Peritoneal expertise: Specialized programs for the abdominal form of this cancer
Treatment Approach
MD Anderson emphasizes multimodal treatment combining surgery, chemotherapy, and radiation. Their surgeons are known for pleurectomy/decortication (P/D), a lung-sparing approach that may offer better quality of life outcomes.
Mesothelioma patients treated annually at MD Anderson
2. Memorial Sloan Kettering Cancer Center (New York, New York)
Memorial Sloan Kettering has one of the most experienced mesothelioma programs in the world. Their surgical team has performed more operations for this disease than any other single institution.
Key Strengths
- Surgical volume: Highest surgical volume for this cancer nationally
- Research leadership: Pioneering CAR-T cell therapy for this malignancy
- Minimally invasive: Advanced robotic and thoracoscopic techniques
- Integrated care: On-site imaging, pathology, and supportive services
Notable Physicians
MSK's thoracic surgery department includes several surgeons who have dedicated their careers to this disease. Their combined experience spans thousands of these surgeries.
3. Brigham and Women's Hospital (Boston, Massachusetts)
Brigham and Women's Hospital developed many of the surgical techniques still used in mesothelioma treatment today. Their program for this asbestos-related cancer has decades of experience with complex cases. Our detailed guide to BWH's mesothelioma surgery program covers their surgical options, survival data, and clinical trials.
Key Strengths
- Surgical innovation: Birthplace of modern mesothelioma surgery
- Long-term data: Decades of outcome tracking and research
- Harvard affiliation: Access to cutting-edge research
- Trimodal therapy: Expertise in combined treatment approaches
Historical Significance
Brigham developed the extrapleural pneumonectomy (EPP) technique and pioneered research into heated intraoperative chemotherapy. Their long-term survival data has informed treatment decisions worldwide.
"I've worked with Brigham's team for years through the MESO Podcast. What sets them apart is their commitment to tracking long-term outcomes. Their data helps patients everywhere understand what's possible with aggressive treatment."
— David Foster, Executive Director of Client Services, Danziger & De Llano
4. Mayo Clinic (Rochester, Minnesota)
Mayo Clinic offers a unique team-based approach where patients see multiple specialists in a coordinated, efficient manner. Their mesothelioma program integrates diagnosis, treatment, and supportive care seamlessly. Our in-depth profile of the Mayo Clinic mesothelioma program covers their 3-campus network, clinical trial access, and surgical capabilities in detail.
Key Strengths
- Team coordination: All specialists meet together for each case
- Efficient scheduling: Multiple consultations in single visits
- Research integration: Treatment informed by ongoing studies
- Patient experience: Consistently high satisfaction scores
Treatment Approach
Mayo emphasizes personalized treatment plans developed through their tumor board process. Every mesothelioma patient's case is reviewed by a team including thoracic surgeons, medical oncologists, radiation oncologists, and pathologists.
5. Moffitt Cancer Center (Tampa, Florida)
Moffitt Cancer Center has emerged as a leading mesothelioma treatment center, particularly for patients from the Southeast. Their program combines surgical excellence with strong clinical trial offerings.
Key Strengths
- Southeast location: Accessible for patients from Florida and nearby states
- Clinical trials: Active participation in national studies
- Peritoneal program: Strong expertise in the abdominal form of the disease
- Supportive services: Comprehensive patient support programs
Regional Importance
Moffitt serves many mesothelioma patients from Florida, a state with high rates of this asbestos-related cancer due to its shipbuilding history and industrial base. Their regional expertise means understanding of local exposure patterns.
6. UCLA Health (Los Angeles, California)
UCLA Health provides West Coast patients access to specialized mesothelioma care. Their program combines academic research excellence with a large patient volume.
Key Strengths
- West Coast location: Primary specialized center for Western states
- Research programs: Collaboration with UCLA medical school
- Surgical expertise: Experienced thoracic surgery team
- Community outreach: Strong patient education programs
Regional Importance
California has among the highest rates of this cancer nationally due to its shipyard history and industrial base. UCLA serves as the primary specialized center for this large patient population.
How to Choose the Right Treatment Center
Selecting a treatment center involves balancing multiple factors. The "best" center depends on your specific circumstances.
Questions to Ask Each Center
- How many mesothelioma patients do you treat annually?
- What is your surgical mortality rate for these procedures?
- Which clinical trials are currently available?
- Do you have surgeons who specialize exclusively in this disease?
- What support services do you offer for traveling patients?
- What are your reported survival outcomes?
Factors to Consider
- Location: Proximity matters for ongoing treatment
- Insurance: Verify coverage before committing
- Travel support: Some centers help with lodging and transportation
- Family needs: Support for caregivers during treatment
- Clinical trials: Access to treatments matching your profile
Learn more about mesothelioma treatment options available at specialized centers.
"I tell every patient: this is the one time in your life where you need to be a demanding healthcare consumer. Ask tough questions. Get second opinions. The difference between average care and excellent care can be measured in years of life."
— David Foster, Executive Director of Client Services, Danziger & De Llano
Getting Appointments and Second Opinions
Most specialized centers accept self-referrals and expedite appointments for patients with this diagnosis.
What to Bring to Your Appointment
- Medical records: All treatment history and test results
- Pathology slides: Original tissue samples for review
- Imaging studies: CDs/files of CT scans, PET scans, MRIs
- Medication list: All current prescriptions and supplements
- Questions: Written list of concerns and questions
Telemedicine Options
All major specialized centers now offer telemedicine consultations. This allows you to get expert opinions without immediate travel, though in-person visits are typically required before treatment.
Frequently Asked Questions
Why should I travel to a specialized mesothelioma treatment center?
Specialized centers have dedicated mesothelioma surgeons with far greater case volume than general hospitals. A National Cancer Database analysis found significantly better postoperative outcomes — including lower 90-day mortality — at high-volume facilities [1], along with access to cutting-edge clinical trials and multidisciplinary teams focused exclusively on this disease.
What is the best mesothelioma treatment center in the United States?
The "best" center depends on your specific needs, but MD Anderson Cancer Center, Memorial Sloan Kettering, and Brigham and Women's Hospital are consistently ranked among the top facilities for treating this cancer. Each offers unique strengths in surgery, clinical trials, or specific treatment approaches.
How do I get an appointment at a specialized mesothelioma center?
Most specialized centers accept self-referrals—you can call their mesothelioma program directly. Bring all medical records, pathology slides, and imaging studies. Many centers offer expedited appointments given the urgency of this diagnosis.
Will insurance cover treatment at an out-of-state mesothelioma center?
Most insurance plans cover treatment at specialized centers, though you may need prior authorization. Many centers have financial counselors who help with insurance navigation. The investment in specialized care often leads to better outcomes that justify any additional costs.
What questions should I ask when choosing a mesothelioma treatment center?
Key questions include: How many mesothelioma patients do you treat annually? What is your surgical mortality rate? Which clinical trials are available? Do you have a dedicated mesothelioma team? What support services are offered? What are your reported survival statistics?
Can I get a second opinion at a specialized center without transferring care?
Yes. Most specialized centers offer second opinion consultations, either in person or through telemedicine. They will review your records, imaging, and pathology to provide treatment recommendations without requiring you to transfer your care.
Next Steps: Finding the Right Care
Choosing a treatment center is one of the most important decisions you'll make after a mesothelioma diagnosis. The specialized expertise at these six centers can significantly impact your outcomes and quality of life.
Our patient support team can help connect you with specialized treatment centers and coordinate appointments. We've built relationships with all major treatment facilities and can help you navigate the process.
Related Resources
- Asbestos Trust Funds Guide — Help cover treatment costs
- Veterans Benefits for Mesothelioma — VA healthcare options
- Find Mesothelioma Lawyers by State — Legal assistance
- Free Case Assessment — Get personalized support
- Best Hospitals for Mesothelioma Treatment: 12 NCI-Designated Cancer Centers in 2026 — Related coverage
Learn More About Treatment
- Treatment Centers Overview — Detailed facility information
- Mesothelioma Clinical Trials — Current research opportunities
- Treatment Options Guide — Surgery, chemotherapy, immunotherapy
- [1] Verma V, et al. (2018). Facility Volume and Postoperative Outcomes for Malignant Pleural Mesothelioma: A National Cancer Data Base Analysis. Lung Cancer.
- [2] National Cancer Institute. (2025). Comprehensive Cancer Center Designation Criteria.
- [3] National Cancer Institute. (2025). Treatment Clinical Trials for Mesothelioma.
- [4] U.S. News & World Report. (2025). Best Hospitals for Cancer: Methodology.
Last updated: April 14, 2026
About the Author
David Foster18+ Years Mesothelioma Advocacy | 20 Years Pharmaceutical Industry | Host of MESO Podcast
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