Toko Clinic in Saku City, Nagano Prefecture, marks 20 years since its establishment and provides medical care as a local family doctor, primarily in internal medicine. In response to the aging population in recent years, the clinic has newly established orthopedics and rehabilitation departments. In orthopedics, new treatments such as ultrasound therapy are performed alongside traditional methods for pain and discomfort throughout the body's bones, joints, and muscles. In the rehabilitation department, a team centered on orthopedic surgeons and physical therapists provides musculoskeletal rehabilitation in a dedicated rehabilitation room. In gastroenterology and gastrointestinal endoscopy, various examinations including blood tests, endoscopy, ultrasound, and CT scans are performed to diagnose and treat symptoms such as abdominal pain, vomiting, loss of appetite, diarrhea, bloody stool, constipation, and bloating. As a family doctor for the community, the clinic provides a wide range of medical care, from acute symptoms such as colds and gastroenteritis to lifestyle diseases such as diabetes, hypertension, and hyperlipidemia. It also handles treatment and suturing for various injuries, including cuts and scrapes, animal bites, and burns. Hemorrhoid treatment is performed in examination rooms that respect privacy, with treatment using ointments and suppositories as well as same-day surgery. English language support, parking, and barrier-free access are also available.