Gianna Mandich

My practice focuses primarily on complex medical negligence cases, particularly obstetrical malpractice, pediatric malpractice, and birth injury. These are among the most challenging and high-stakes cases in civil litigation because they require a deep understanding of both medicine and law, as well as the ability to translate complicated medical issues into a clear story for a jury. I represent children and families who have been permanently affected by preventable medical errors, and my work often involves partnering with leading physicians and medical experts across the country to evaluate what went wrong and why.

What makes my practice unique is the level of technical investigation that goes into every case. In addition to traditional medical record review, I routinely obtain and analyze electronic medical record audit trails and other digital data that can reveal how care was actually delivered in real time. That level of detail often uncovers critical information about clinical decision-making and documentation that would otherwise remain hidden.

Equally important is the human side of the work. Many of the families I represent are navigating the most difficult period of their lives after the birth or loss of a child. My goal is not only to hold healthcare providers accountable when the standard of care is violated, but also to give families answers and a voice. That combination of rigorous medical analysis and client-centered advocacy is what defines my practice.

In medical negligence cases, clients usually come to me during one of the most confusing and painful moments of their lives. The most common question I hear is: “Did something go wrong, or was this just an unavoidable medical outcome?” My answer is always that the first step is a careful, objective investigation. Medicine is complex, and not every poor outcome is malpractice. My job is to gather the medical records, consult with qualified specialists, and determine whether the care fell below the accepted standard and whether that failure caused the injury.

Another frequent question is: “Do I actually have a case?” I explain that these cases require extensive expert review and a clear connection between the medical error and the injury. My team and I work closely with leading physicians across the country to analyze the records and determine whether the evidence supports moving forward.

Clients also want to know how long the process will take and what to expect from litigation. I’m very candid that complex medical cases take time because they involve extensive discovery, expert testimony, and often trial preparation. At the same time, I reassure families that we handle the legal burden so they can focus on their child, their health, or their family.

Ultimately, the most important thing I try to provide is clarity. Many families come to us simply seeking answers about what happened. Whether the case proceeds to litigation or not, my goal is to ensure they understand the medical events, their rights, and the options available to them moving forward.

One of the most challenging aspects of medical negligence litigation is the level of complexity involved in both the medicine and the law. These cases require a deep understanding of highly technical medical issues—often across multiple specialties—and the ability to analyze thousands of pages of medical records, imaging, and electronic data to determine exactly what occurred. Translating that information into a clear and understandable story for a jury is a significant challenge, particularly when the underlying medicine is complex and the defense is often supported by large institutions and extensive resources.

Another challenge is the evidentiary burden placed on plaintiffs in medical cases. Proving a breach of the standard of care and causation requires careful coordination with qualified medical experts and a meticulous reconstruction of the clinical timeline. Even when the facts are strong, the process of developing the evidence necessary to meet that burden is demanding and time-intensive.

Finally, there is the human element. Many of my cases involve catastrophic injuries to children or the loss of a child, which means the families I represent are navigating profound grief and uncertainty while the legal process unfolds. Balancing the technical rigor required to litigate these cases with the compassion needed to support families through the process is one of the most difficult—and most meaningful—parts of the work.

One of the greatest influences on my career has been my father, who is both a physician and an attorney. Growing up, I had a unique window into both the practice of medicine and the legal system. He often spoke about the immense trust patients place in healthcare providers and the responsibility that comes with that trust. At the same time, he emphasized that when that trust is broken and a patient is harmed, the legal system plays a critical role in ensuring accountability and protecting the public.

From an early age, he encouraged me to use my education, time, and talents to advocate for those who are most vulnerable. That lesson stayed with me throughout law school and ultimately shaped my decision to focus my practice on medical negligence and birth injury cases. Many of the families I represent are facing devastating injuries to a child or the loss of a loved one, often while trying to understand how something that should have been safe went so wrong.

His example taught me that the practice of law can be a powerful tool for justice and for protecting patients. That perspective continues to guide my work today and reinforces why accountability in healthcare is so important—not only for the families involved, but for the safety of future patients as well.

Outside of my legal practice, my greatest joy is being a mother to my two children. Much of my time outside the office revolves around family life, and becoming a parent has deepened my commitment to advocating for women and children both inside and outside the courtroom.

I am also passionate about policy issues affecting reproductive medicine and have spent time working on legislation related to assisted reproductive technology (ART). These issues are deeply important to many families, and I believe thoughtful legal frameworks are essential to protect patients and parents navigating fertility treatment.

Another experience that has shaped my perspective is surviving a brain tumor and brain cancer diagnosis at 28 years old. That journey gave me a personal appreciation for the patient experience and the extraordinary trust people place in the medical system. It reinforced my commitment to the work I do and the importance of compassionate advocacy.

When I’m not working, I enjoy traveling and learning about different cultures. I also speak French, which reflects my longstanding interest in language and international experiences.