Dr. Ravasia, MD, FACOG, FRCSC

Debra Ravasia, MD, is an obstetrician/gynecologist certified by the American Board of Obstetrics and Gynecology (ACOG) with additional subspecialty certification as a Fellow of Female Pelvic Medicine and Reconstructive Surgery.  Dr. Debra Ravasia also developed an additional interest in obesity and metabolic medicine after discovering the strong connection between a variety of women's health problems, and insulin/glucose metabolism.   She is one of first physicians in the State of Washington to become certified by the American Board of Obesity Medicine.   During her twenty plus years of practicing medicine she has also developed an interest and expertise in aesthetic medicine and international women's health.


Dr. Debra Ravasia completed her undergraduate medical training at the College of Medicine in the University of Saskatchewan in 1994, then completed her residency at the Foothills Hospital, University of Calgary.  She is a Fellow of the Royal College of Surgeons of Canada.  She began her private practice as an obstetrician/gynecologist in North Dakota in 2000 and remained there until moving with her family to Spokane, Washington in 2005.  During that time she also served as Clinical Associate Professor of Medicine with the University of North Dakota, voluntarily involved in teaching and mentoring medical students and residents.  On arriving in Spokane, she founded Women’s Health Connection, a practice focusing on general primary care for women, as well obstetrics and gynecology and urogynecology.  The practice rapidly evolved into a multispecialty practice with several other providers.  She set up an ambulatory surgical facility as part of this practice, and had the pleasure of working with several brilliant and dedicated physicians, nurse practitioners and other great staff in that practice. 


As her interest in obesity medicine grew, she became more and more convinced that chronic diseases could not only be controlled, but often could be reversed with good metabolic management.  With the input of other physicians, registered dietitians, and personal trainers, she helped develop several metabolic protocols for her patients to help them control their metabolic problems, including obesity.  She became a Certified Clinical Densitometrist as she began to realize the value of accurate body composition measurement in properly diagnosing and managing obesity and other aspects of metabolic syndrome.   


The success of these “metabolic protocols” was evident early on.  While helping nearly 1800 women manage and overcome their obesity and metabolic problems, and maintain the improvements over several months to years, Dr. Debra Ravasia heard repeatedly, "Can you please help my husband?"  In response to these pleas, she recruited her good friend Dr. Brian Sabowitz, an Internal Medicine and Obesity Medicine specialist from San Antonio, Texas to relocate to Spokane to help her expand the practice to provide services for men.   This led to the development of the expansion of metabolic and obesity medicine services at her practice to include both women and men under the new title of "Metabolic Health Connection".


Dr. Debra Ravasia remains active with the American Congress of Obstetricians and Gynecologists, and the American Urogynecologic Society.  She is also an active member of the American Society of Bariatric Physicians (ASBP).  (Now known as the Obesity Medicine Association (OMA).  She is a co-author of the American Society of Bariatric Physicians Obesity Treatment Algorithm, an evidence based document, which sets standards for managing obesity and metabolic disease.  She has served on the Medical School Curriculum Task Force of the  ASBP and has been a speaker at the national ASBP meetings, and for the ASBP Master's Program in Obesity Medicine.  She is an active member of the International Society of Clinical Densitometrists, and has served on the CCD Exam Writing Committee of ISCD.  She has also served on the standard setting / exam writing committee of the American Board of Obesity Medicine.  She is a site inspector for the American Association of Accreditation of Ambulatory Surgical Facilities.  In an effort to develop a comprehensive protocol for the treatment of metabolic disease and obesity, she completed training and certification as a personal fitness trainer with the American College of Sports Medicine and utilized this additional expertise to improve various protocols for treating obesity and related comorbid conditions and intensive behavioral modification.  She is also a member of the American Association of Gynecologic Laparoscopists, the American Academy of Cosmetic Surgeons, and the American Medical Association, as well as The Obesity Society (TOS) formerly known as the "North American Association for the Study of Obesity". 


Dr. Debra Ravasia has an interest in global women’s health and has a long history of performing humanitarian work that has spanned the globe, reaching as far as Cameroun and most recently serving with Doctors Without Borders on a maternity project in Afghanistan. 


At home, Dr. Debra Ravasia, and her husband, Dr. Saj Ravasia, have been married since 1995 and have 4 wonderful children, two of whom are now in college.  Dr. Ravasia enjoys both downhill and skate skiing, and has recently discovered backcountry skiing ("touring") in the Canadian Kootenays and completed avalanche training.  She also loves getting involved in her kids' activities, hiking, reading and travelling.


Clinical Interests

General Gynecology and Primary Care for Women

Urinary Incontinence and Voiding Dysfunction

Minimally Invasive Gynecology Procedures

Advanced Laparoscopic Surgery

Metabolic Problems and Obesity Management

Menopausal Problems/Hormone Management

Aesthetic Medicine

Pelvic Floor Disorders/ Pelvic floor prolapse

International Women's Health