Elizabeth Guilbert Perrow is a trial lawyer who practices primarily in the area of medical malpractice defense. She has extensive experience representing healthcare providers and has successfully defended physicians, nurses, and hospitals. Best Lawyers in America named Elizabeth as the 2017 Roanoke Lawyer of the Year for Medical Malpractice Law – Defendants.

She has tried numerous jury cases in circuit courts and has participated in numerous mediations. She was recognized by Virginia Lawyers Weekly for receiving one of the largest defense verdicts in 2007 and for receiving “million-dollar med-mal defense verdicts” from 2010 through 2015.

Elizabeth has lectured extensively on risk management issues to professional groups in Virginia and has authored a chapter of Virginia CLE on Medical Malpractice Law in Virginia.

Elizabeth has been recognized by Virginia Super Lawyers for many years and listed in Super Lawyers—Top 50 Women in 2014, 2015, and 2017. She has been one of  Martindale-Hubbell’s Preeminent Women Lawyers since 2011 and holds a Martindale-Hubbell AV® Preeminent Peer Review Rating. In 2016, she was among the Best Lawyers list of Women in the Law for Medical Malpractice Law. Best Lawyers has also recognized her for Medical Malpractice Law-Defendants since 2012. In 2013, she was named by Virginia Lawyers Weekly as one of the Influential Women of Virginia. Additional awards include being a Virginia Super Lawyers Rising Star in 2008, 2009, and 2011. Blue Ridge Business Journal recognized Elizabeth in their “20 Under 40” list in 2009. The Roanoke Bar Association chose her as Young Lawyer of the Year in 2008.

She was the second-youngest president and only the second woman to serve as president of the Virginia Association of Defense Attorneys (VADA), a statewide bar association for defense attorneys. She is the third Woods Rogers attorney to serve as president of the organization.

Elizabeth graduated from Lynchburg College cum laude and earned her law degree at Oklahoma City University School of Law, summa cum laude, where she received the award for Outstanding Woman Graduate in her class.


Association of Defense Trial Attorneys

Defense Research Institute

Virginia Association of Defense Attorneys—Past President (2013-14); President (2012-13); Chair, Medical Malpractice Section (2006-07); Board of Directors, Southwestern Regional Representative (2007-10); Member, Board of Directors Executive Committee; Treasurer (2011-2012); Secretary (2010-11)

Journal of Civil Litigation—Board of Editors (2005-11)

Virginia Bar Association

Boyd-Graves Conference—Member and Steering Committee Member

Virginia State Bar—Member, Litigation Section

Roanoke Bar Association—Board of Directors (2008-10); Membership Committee and Long Range Planning Committee (2008-09); Service Committee (2009-10)

The Ted Dalton American Inn of Court—Master of the Bench

Thought Leadership


  • You’ve Been Poked: Social Networking and Civil Litigation, co-author with Aaron B. Houchens, The Journal of Civil Litigation, 2010.
  • Telemedicine in Virginia: Some Legal Implications of Care from a Distance, co-author with Daniel T. Sarrell, The Journal of  Civil Litigation, 2009.
  • Chapter 4: Investigating the Factual Background (Defendant’s Perspective); Medical Malpractice Law in Virginia, Virginia Continuing Legal Education, 2002, 2003.
  • The Health Insurance Portability and Accountability Act: An Overview of Administrative Simplification, co-author with Thomas W. Farrell, The Journal of Civil Litigation, 2002.
  • Overview: Custody and Visitation Matters, Associates’ Notes, VADA newsletter, 2000.

Speaking Engagements

  • Inside the Deposition Room, panel discussion for Virginia CLE seminar, Controlling the Deposition, April 2019

Lawyer case results depend upon a variety of factors unique to each case. Case results do not guarantee or predict a similar result in any future case undertaken by the lawyer.