Dr. Gagianas earned his medical degree from the University of Pittsburgh School of Medicine and completed his internship and residency at UPMC St. Margaret. He has practiced medicine since 1990 in positions including medical director, Paramount Hospice, Gallagher Hospice, and Harmony Hospice; medical director, The Covenant of South Hills and Rolling Hills Personal Care Home. He also was a clinical instructor and preceptor at the University of Pittsburgh School of Medicine.