SAN ANTONIO – A man wanted on multiple child pornography charges was arrested in Belize after fleeing the United States to evade prosecution, according to the U.S. Marshals Service. Dr. Gregory Roth, 67, was wanted in San Antonio on 11 charges of possession of child pornography, according to a press release.
Roth held various roles within the health care field, serving as the regional medical director for Envision Healthcare. He was also affiliated with other hospitals and clinics in the San Antonio area.
In 2022, the Texas Attorney General’s Office (TXAGO) conducted a series of residential search warrants for Roth, who was suspected of possessing child pornography. He was previously arrested in November 2022 and indicted in 2023 on 11 counts of child pornography, according to the release.
Roth was scheduled to appear for sentencing in December 2024; however, he failed to show up before the court, the U.S. Marshals said. In January 2025, TXAGO requested help from the Lone Star Fugitive Task Force to locate Roth.
Further investigation determined that he fled the country in a rented motorhome, traveling through areas near the southern borders of Mexico, Belize, and Guatemala. Authorities later found Roth’s presence in Placencia, Belize.
Roth was arrested on Friday, March 21, 2025, without incident, U.S. Marshals said. He is currently facing removal from Belize under immigration law and is awaiting extradition to Bexar County.
This case has highlighted the collaborative efforts between various law enforcement agencies to tackle serious crimes like child pornography. The U.S. Marshals Service and TXAGO are working together to ensure that suspects facing serious allegations do not evade justice through international borders.
The authorities are determined to continue their relentless pursuit of individuals like Dr. Gregory Roth, who take advantage of loopholes in the system to evade their legal responsibilities. Roth’s case is just one example of how authorities are ramping up efforts to track down fugitives fleeing prosecution.
As the legal proceedings against Roth unfold, officials emphasize the importance of vigilance and cooperation among agencies to keep communities safe from potential predators.
In coming weeks, Roth will face extradition proceedings back to Texas, where he will confront the serious allegations against him in a court of law. This case serves as a stark reminder of the significance of addressing such heinous crimes head-on.
