Dr. Saito began his chiropractic practice in 1986. In his more than 35-year career, he has had offices in Aiea, Waipahu, Kailua, Honolulu, and Ala Moana on Oahu, and now in Keaau on the Big Island. He has maintained a solo practice except for a 5-year relationship with the Honolulu Medical Group where he was the Director of the Integrative Healthcare Department overseeing chiropractic, acupuncture, and massage services.