Contact Us: 415-570-7352

Meet Our Staff

Dear Dr. Horton and Staff, You are angels and wonderful caregivers. Thank you so much for all of your care. You are an amazing group of doctors and staff. You have made my life much better, healthier and prettier!

Mary Pasache – Patient Coordinator

Mary Pasache is our invaluable Patient Coordinator, having been with the practice for over 16 years. Mary is extremely experienced, knowledgeable and conversant about all facets of our practice, both surgical and non-surgical.

Mary Pasache will schedule your consultation with Dr. Horton and will answer your initial questions, getting to know you a little over the phone. Mary can provide you with general information about the procedure(s) you are interested in, an estimate of surgical fees, and additional background information about our practice.

You will meet Mary in person after your consultation with your Plastic Surgeon. She will provide you with information regarding insurance authorization, a quote for expected fees and a packet that describes the procedure(s) in more detail. Mary schedules all our surgeries and works together with other Physicians’ offices to schedule combined procedures (with Breast Surgeons for mastectomies and immediate breast reconstruction, or OB-GYNs for combined Plastic Surgery and gynecological procedures).

Mary will be your “point person” throughout your surgical planning stages and will schedule your Preoperative Visit a week or two before your surgery date. She is available by phone or email to answer your questions and will accommodate your specific scheduling needs as best as possible. Outside of our office, Mary enjoys physical fitness, is an accomplished triathlete and has an incredible shoe collection! She enjoys spending time with her son, her husband of over 16 years and their four dogs. Contact her directly at: mary@drkarenhorton.com.

“Nurse Mari” Haughey – Registered Nurse

Mari Haughey, R.N., otherwise known as “Nurse Mari”, is our in-office Registered Nurse who participates in preoperative teaching and preparation of our patients for surgery. She brings over 37 years of Nursing experience, her compassionate and calming bedside manner, and personalized caregiving style to our practice.

Nurse Mari spends a significant amount of time with you at your Preoperative Visit, helping you to prepare for your procedure, teaching you all about Drains, providing prescriptions for your Postoperative Medications and reviewing your specific Postoperative Instructions. Mari also completes any disability or work-related medical forms when needed. A Bay Area native, Mari resides with her husband in San Francisco. In her spare time, Nurse Mari enjoys cooking and baking, has an extensive garden and quite the green thumb!

Sharron Wong – Insurance Preauthorization and Billing Specialist

Behind the scenes managing our Back Office is Sharron Wong. Sharron is fundamental to our office and has been with the practice for 9 years. You may seldom see her, but Sharron lends a hand with each and every patient! Sharron is in charge of billing medical insurance for surgeries, insurance preauthorization, accounts payable/receivable and banking activities.

When not hard at work negotiating with insurance companies on behalf of our patients, Sharron enjoys an active lifestyle, volunteering and teaching at the Embarcadero YMCA, maintaining physical fitness, and enjoying World Champion San Francisco Giants baseball!

Stephanie Bean – Front Office


Stephanie, our Front Office Receptionist is the cheery and professional voice on the other end of the phone when you first call us, and is the first to welcome you to our office in person. When you arrive to visit us, you will be greeted warmly with a friendly smile and be offered cool water or hot tea to drink.

Your New Patient Intake Forms will be collected and your insurance information and benefits will be confirmed. Stephanie will ensure you are comfortable as you complete any additional paperwork prior to meeting Dr. Horton or Courtney McSpadden, Aesthetic N.P.

Stephanie has been in the beauty and health industry for several years. She is passionate about helping others and making people feel good about themselves. She is a Bay Area native who participates in fundraisers, community service and has special interest in beauty, health and fashion. When not in the office, she enjoys the outdoors and spending time with her family and friends. Stephanie is happiest when she is bringing joy to the lives of others, and knows she is helping them to achieve their personal health and beauty goals!

Our entire team is eager to help put your mind at ease throughout your surgical process or non-surgical procedures, from beginning to end. After your procedure, your follow-up appointments will be made by Stephanie. She will help you obtain any necessary postoperative garments, scar therapy products and coordinate return-to-work letters and other non-medical paperwork.