From Surgeon to Psilocybin: Dr. Tracy Townsend's Journey (featured on the With Whit Podcast)
Sep 3, 2025

From Surgeon to Psilocybin: Dr. Tracy Townsend's Journey (featured on the With Whit Podcast)

Dr. Tracy Townsend on the With Whit Podcast

Dr. Tracy Townsend's journey has taken her from operating rooms to intentional plant-medicine ceremonies — and along the way she's discovered a new calling: guiding others through the therapeutic power of fungi.

A Global Childhood and a Surgical Start

Tracy grew up as a child of U.S. government service members, living in East Asia — South Korea and Okinawa — before finishing high school in Washington, D.C. She completed medical school at the University of Virginia and underwent five years of pediatric orthopedic surgery training in Los Angeles. She now practices with psilocybin in Portland, Oregon.

Recognizing the Limits of Conventional Care

While orthopedic surgery offered meaningful impact, she observed that modern medicine excels at lifesaving miracles — like treating car-accident injuries — but often lacks tools for addressing deep-seated psychological and intergenerational wounds. Many of her emergency cases involved patients whose anxiety, depression, and PTSD were rooted in trauma that surgery could never reach.

A Personal Turning Point

During residency, facing 80-hour weeks, isolation in L.A., and mounting burnout, Tracy turned to meditation. Through acquaintances, she attended ayahuasca and psilocybin ceremonies, experiencing profound, ego-dissolving insights and a sense of "coming home" to her authentic self.

Diving into the Science

She researched the FDA's breakthrough-therapy designation for psilocybin (2018), clinical trials at Johns Hopkins and NYU, and neuroscience studies on default-mode-network disruption. She attended UCLA conferences and connected with leading researchers, building the scientific foundation for what would become her new practice.

Founding Meadow Medicine

After Oregon voters approved Measure 109 in 2020, Tracy completed facilitator training with Tom Eckert. She resigned her surgical post and founded Meadow Medicine, offering psilocybin-assisted health coaching in Portland.

Macrodose Journeys: The Core Offering

The program includes five components:

  1. Preparation Call — Video consultation covering intentions, medical history, and logistics
  2. Macrodose Ceremony — Six to seven-hour one-on-one session in our Portland center
  3. Next-Day Integration — In-person debrief to process insights
  4. One-Week Check-In — Follow-up video call for reinforcement
  5. One Year of Group Support — Monthly integration meetings (up to twelve sessions)

Many clients report significant, sustained relief from depression, anxiety, PTSD, and other chronic conditions after just one macrodose journey plus this robust integration framework.

Rethinking Antidepressants

SSRIs and SNRIs were never intended for decades-long use, and withdrawal issues often go unaddressed. Psilocybin targets different serotonin receptors associated with active coping and can catalyze deep shifts in just a single session — offering an alternative to the daily medication model.

A Day in Dr. Townsend's World

Tracy's days are filled with recording podcasts, conducting preparation and integration calls, and hosting ceremonies. Clients return the next morning for check-ins and continue with monthly group integration meetings for one full year — building a community of healing alongside individual transformation.

Watch: Going from Surgery to Psychedelic Medicine