Lindsey Balaco is an attorney at Simmons Hanly Conroy, working out of the Alton office. She joined the firm in 2021, focusing her practice on pharmaceutical clients with an emphasis on cases involving opioids. Her role centers on review of important and sensitive documents, research tasks and preparation for depositions.

“Reliance on technology today means computer documents and email conversations are voluminous, necessitating a patient and discerning eye to sift through them and uncover important evidence,” she said. “Reviewing clients’ documents is important for making sure privileged and sensitive information is protected.”

As part of the opioid litigation team, she works closely with the other attorneys and is a patient and meticulous member. She ensures that no document is left unturned. She builds a timeline for supporting evidence and locates all key documents needed for a client’s case. Her past experience as a document review attorney plays an important role in her current position at the firm.

Fighting the Opioid Epidemic

Lindsey works on the firm’s discovery team in the ongoing National Prescription Opiates Multidistrict Litigation. The MDL represents local governments across the country, alleging drug companies contributed to the opioid crisis by carelessly promoting painkillers and downplaying addiction risks.

She knows how crucial electronic discovery is in the litigation process as she also serves on the team conducting document review for the firm’s opioid litigation filed in state courts, including New York and Pennsylvania. Her attention to detail ensures evidence and documents are accurate and consistent for the attorneys in court.

Although Lindsey works behind the scenes, she understands the needs of the team’s clients and how the firm’s attorneys treat each and every one. “Total client care involves treating the client and his or her concerns with respect and dignity on a personal and professional level, and advocating for the client with your mind, words, actions, and your heart,” Lindsey said.

Background and Experience

Lindsey has been an attorney for six years. Prior to joining Simmons Hanly Conroy, she held a position at a company serving as a global leader in legal services and performed quality control reviews of important documents. She also coded documents.

Besides that role, she has work experience as an associate attorney at two St. Louis law firms. At these positions, Lindsey represented clients in all court proceedings, managed client relationships by explaining laws and procedures and drafted and prepared litigation documents. She also researched many topics, including wrongful death, personal injury and wrongful termination cases.

Lindsey graduated from St. Louis University Law School in 2015, where she received a Dean’s Select Scholarship. In 2011, she received her undergraduate degree in sociology, also from St. Louis University. As an undergraduate, she was an active member of Alpha Delta Pi, honored as a Best Senior Capstone nominee and graduated cum laude.

When she’s not working, Lindsey enjoys reading, baking and spending time with her husband and their pets, a cat and two dogs.

Lindsey Balaco

Practice Areas:

  • Complex Litigation
  • Opioid Litigation
  • Pharmaceutical Litigation
  • Prescription Opioid Litigation

Bar and Court Admissions:

  • Missouri, 2015


  • St. Louis University, B.A., Sociology, 2011, cum laude
  • St. Louis University Law School, J.D., 2015, concentration in urban development, land use and environmental law