Care Abroad

Care AbroadProcedures (58)

The operations people cross borders for, what each one involves, and what it costs where.

Bone, joint and spine (7)

Anterior cruciate ligament reconstruction

ACL reconstruction, ACLR, knee ligament reconstruction

The torn cruciate ligament is replaced with a tendon graft threaded through tunnels drilled in the femur and the tibia and fixed at both ends.

4 published prices

Artificial disc replacement

total disc replacement, TDR, disc arthroplasty

The worn disc is removed and replaced with a metal-and-polymer implant that keeps the two vertebrae moving, instead of a cage and screws that lock them together.

3 published prices

Knee arthroscopy

keyhole knee surgery, arthroscopic partial meniscectomy, meniscus surgery

A camera and instruments go into the knee through two or three small portals. Torn meniscus is trimmed or stitched, loose bodies are removed, roughened cartilage is smoothed, the joint is washed out.

4 published prices

Spinal fusion

arthrodesis of the spine, ACDF, anterior cervical discectomy and fusion

Two vertebrae are joined into one bone. The disc between them is removed, a cage or a block of graft is packed into the gap, and screws and rods or a plate hold the segment still while it knits.

4 published prices

Total hip replacement

total hip arthroplasty, THA, THR

The worn ball and socket of the hip are cut out and replaced: a stem driven into the femur carrying a metal or ceramic head, and a cup fixed into the pelvis with a bearing inside it.

5 published prices

Total knee replacement

total knee arthroplasty, TKA, knee arthroplasty

The worn surfaces of the knee are cut away and replaced with metal and plastic: a femoral component on the thigh bone, a tibial tray on the shin, a polyethylene bearing between them, and often a patellar button behind…

4 published prices

Total shoulder replacement

total shoulder arthroplasty, TSA, reverse total shoulder replacement

The arthritic or destroyed shoulder joint is replaced with a stemmed or stemless humeral component and a glenoid component.

3 published prices

Brain and nerve (2)

Cochlear implant

CI, cochlear implantation, auditory prosthesis

An electronic device that bypasses the damaged inner ear and stimulates the hearing nerve directly.

3 published prices

Gamma knife radiosurgery

Leksell Gamma Knife, stereotactic radiosurgery, SRS

A high dose of radiation delivered to a target inside the skull from many directions at once, so that the beams meet at the lesion and each individual path through healthy brain carries little dose.

Cancer (2)

CAR T-cell therapy

chimeric antigen receptor T-cell therapy, CAR-T, tisagenlecleucel

A patient's own T cells are collected from the blood, genetically modified in a factory to carry a receptor for a marker on their cancer, grown up, frozen, shipped back and infused after a short course of chemotherapy…

5 published prices

Proton beam therapy

proton therapy, PBT, proton beam radiotherapy

Radiotherapy delivered with protons instead of X-rays. A proton slows as it travels through tissue and releases most of its energy at the point where it stops, so a beam aimed to stop inside a tumour deposits its dose…

Cosmetic (6)

Abdominoplasty

tummy tuck, lipectomy, mini abdominoplasty

Skin and fat are cut away from the lower abdomen through a long transverse incision above the pubis, the separated abdominal muscles are usually stitched back together, the navel is brought out through a new opening and…

4 published prices

Breast augmentation

augmentation mammoplasty, boob job, breast enlargement

A silicone shell filled with cohesive gel or saline is placed behind the breast tissue or behind the chest muscle, through a cut in the fold under the breast, around the areola or in the armpit.

4 published prices

Facelift

rhytidectomy, SMAS facelift, deep plane facelift

Incisions are made in front of and behind the ear and into the hairline, the skin is lifted, the fibrous layer beneath it is repositioned or tightened, excess skin is trimmed and the wound closed along the lines where…

4 published prices

Gluteal fat grafting

BBL, Brazilian butt lift, buttock augmentation with fat grafting

Fat is taken by liposuction from the abdomen, flanks or back, processed, and injected into the buttocks to add volume and change shape.

3 published prices

Liposuction

lipoplasty, suction-assisted lipectomy, lipo

Fat is broken up and aspirated through small cannulas passed under the skin, usually after the area has been flooded with dilute local anaesthetic and adrenaline.

4 published prices

Rhinoplasty

nose job, nasal reshaping, septorhinoplasty

Bone and cartilage of the nose are cut, filed, repositioned or added to, through the nostrils or through a small bridging incision at the base of the nose.

4 published prices

Eyes (3)

Cataract surgery

phacoemulsification, phaco, lens extraction with intraocular lens

The clouded natural lens is broken up by ultrasound and removed through a small wound, and an artificial lens is folded into the empty capsule.

3 published prices

Implantable collamer lens

ICL, implantable contact lens, phakic intraocular lens

A soft lens is folded through a small corneal wound and placed behind the iris, in front of the eye's own lens, which stays. No tissue is removed and the operation can in principle be reversed.

3 published prices

LASIK

laser in situ keratomileusis, laser eye surgery, femto-LASIK

A thin flap is cut in the surface of the cornea, the tissue beneath is reshaped with an excimer laser to change where the eye focuses, and the flap is laid back without stitches.

4 published prices

Fertility (7)

Egg donation

oocyte donation, donor egg IVF, DIVF

A donor is screened and stimulated, her eggs are collected, and they are fertilised with the recipient's partner's sperm or with donor sperm; the resulting embryo goes into the recipient, whose own cycle is timed to…

7 published prices

Egg freezing

oocyte cryopreservation, oocyte vitrification, social freezing

The first half of an IVF cycle, stopped after the eggs are collected.

4 published prices

In vitro fertilisation

IVF, in vitro fertilization, assisted reproductive technology

Drugs stimulate the ovaries to ripen several eggs at once; the eggs are collected through the vaginal wall under sedation or general anaesthetic in about half an hour; the eggs are mixed with sperm in a laboratory; and…

7 published prices

Intracytoplasmic sperm injection

ICSI, sperm injection, IVF-ICSI

An embryologist holds one egg with a suction pipette, picks up one sperm in a glass needle a few micrometres across, pushes the needle through the egg's outer coat and membrane and releases the sperm inside.

4 published prices

Preimplantation genetic testing

PGT, PGT-A, PGT-M

A few cells are taken from the outer layer of a five-day-old embryo, the embryo is frozen, and the cells are sequenced.

4 published prices

Sperm donation

donor sperm, donor insemination, DI

Screened, frozen sperm from a man who is not the patient's partner, thawed and either placed in the uterus around ovulation — donor insemination, a few minutes in a clinic room with no anaesthetic — or used to fertilise…

4 published prices

Surrogacy

gestational surrogacy, gestational carrier, traditional surrogacy

A woman carries a pregnancy for someone else. In the usual form an embryo is created by IVF from the intended parents' or donors' gametes and transferred to her; she has no genetic link to the child.

2 published prices

Gender-affirming (3)

Phalloplasty

gender-affirming phalloplasty, RFF phalloplasty, ALT phalloplasty

A penis is built from a flap of the patient's own skin, fat and nerve — most often the forearm, otherwise the thigh, groin or back — transferred to the pubis and connected to blood vessels and nerves there.

3 published prices

Top surgery

chest masculinisation, chest reconstruction, subcutaneous mastectomy

Breast tissue is removed and the chest is reshaped to a male contour.

3 published prices

Vaginoplasty

gender-affirming vaginoplasty, genital reconstruction, sex reassignment surgery

The testes are removed, the penile and scrotal tissue is dismantled, and a vaginal canal is made in the space between the bladder and the rectum, lined with penile skin turned inside out, with a scrotal skin graft, with…

4 published prices

Hair (2)

Direct hair implantation (DHI)

DHI, implanter pen technique, Choi implanter technique

Follicular units are harvested as in follicular unit extraction, then loaded one at a time into a hollow implanter pen that both makes the recipient channel and delivers the graft in a single movement, rather than the…

2 published prices

Follicular unit extraction

FUE, follicular unit excision, sapphire FUE

Follicular units are cut out of the back and sides of the scalp one at a time with a punch under a millimetre across, sorted under magnification, and placed into slits made in the bald area.

4 published prices

Heart (3)

Coronary angioplasty and stent

PCI, percutaneous coronary intervention, balloon angioplasty

A catheter is threaded from the wrist or the groin to the heart, dye shows where a coronary artery is narrowed, a balloon opens it and a metal mesh tube is left behind to hold it open.

4 published prices

Coronary artery bypass grafting

CABG, heart bypass, coronary bypass

A length of vein from the leg or artery from the chest wall is sewn around a blocked coronary artery so blood reaches the muscle beyond it. Several grafts in one operation is usual.

4 published prices

Heart valve replacement

valve replacement, aortic valve replacement, mitral valve replacement

A diseased valve — most often the aortic or the mitral — is cut out and a mechanical or tissue prosthesis is sewn in its place, on cardiopulmonary bypass through an opened chest, or through a smaller incision with an…

4 published prices

Rehabilitation (3)

Dialysis away from home

holiday dialysis, vacation dialysis, guest dialysis

A person on maintenance haemodialysis books sessions at a unit somewhere else and goes there.

5 published prices

Panchakarma

pancakarma, Ayurvedic purification therapy, body purification programme

A residential course of Ayurvedic treatment, prescribed by a physician after consultation and run daily for two to four weeks: oil applications and massage, herbal steam, forehead oil pouring, medicated enemas and…

3 published prices

Residential addiction treatment

rehab, inpatient rehabilitation, detox and rehab

A stay of several weeks in a residential centre: medically supervised withdrawal where it is needed, then individual and group therapy, structured days, and an aftercare plan.

2 published prices

Screening (1)

Executive health screening

executive check-up, health screening package, comprehensive medical check-up

A fixed bundle of tests run in half a day: history and examination, bloods, urine and stool, an electrocardiogram, a chest X-ray, an abdominal ultrasound, with imaging, endoscopy and cardiac stress testing added in the…

3 published prices

Sold without approval (1)

Unapproved stem cell treatment

stem cell therapy, regenerative medicine, stromal vascular fraction

A cell preparation is injected, infused or implanted as a treatment for a condition it has not been approved to treat.

2 published prices

Teeth (6)

All-on-4

All-on-four, full-arch fixed bridge on four implants, fixed hybrid denture

Four implants are placed in one jaw, the back pair angled forward to avoid the sinus or the nerve, and a fixed bridge of ten to fourteen teeth is screwed onto them — often a temporary one within about a day, with the…

3 published prices

Dental crown

cap, porcelain fused to metal crown, zirconia crown

A tooth is reduced to a stump, an impression or scan is taken, a laboratory makes a cover in metal, porcelain-fused-to-metal, lithium disilicate or zirconia, and it is cemented or screwed on.

5 published prices

Dental implant

implant fixture, endosseous implant, single tooth implant

A titanium or ceramic screw is placed in the jaw where a tooth was. Bone grows onto it over months; then an abutment is screwed into it and a crown is cemented or screwed onto that.

4 published prices

Dental veneers

porcelain veneer, composite veneer, laminate veneer

A thin facing is bonded to the front of a tooth, usually after some enamel is removed.

4 published prices

Full mouth restoration

full mouth rehabilitation, full mouth reconstruction, smile makeover

Rebuilding both jaws: extractions where teeth cannot be kept, implants or bridges where they cannot be replaced otherwise, crowns on what remains, and often a raising of the bite.

4 published prices

Root canal treatment

endodontic treatment, root filling, RCT

The dead or infected pulp is removed, the canals inside the root are cleaned, shaped and filled, and the tooth is sealed. The NHS describes it as treatment for infection at the centre of a tooth.

5 published prices

Transplant (3)

Bone marrow transplant

haematopoietic stem cell transplant, HSCT, stem cell transplant

The blood-forming system is destroyed by chemotherapy, with or without radiation, and replaced with stem cells — the patient's own, harvested and stored beforehand, or another person's.

2 published prices

Kidney transplant

renal transplant, renal transplantation, kidney graft

A kidney from a living or a deceased donor is placed in the recipient's lower abdomen and plumbed into the iliac vessels and the bladder; the recipient's own kidneys are usually left in place.

1 published price

Liver transplant

orthotopic liver transplantation, OLT, living-donor liver transplant

A diseased liver is removed and replaced, either with a whole organ from a deceased donor or with a lobe cut from a living one.

3 published prices

Weight (3)

Gastric balloon

intragastric balloon, Orbera, Allurion

A soft balloon is placed in the stomach and filled, so the stomach holds less and fullness comes sooner. It is a temporary device, not an operation: nothing is cut, stapled or removed, and it comes out again.

3 published prices

Gastric bypass

Roux-en-Y gastric bypass, RYGB, mini gastric bypass

The stomach is divided with staples to leave a small pouch at the top, and that pouch is joined to the lower part of the small intestine, so food passes most of the stomach and the first stretch of bowel without meeting…

2 published prices

Sleeve gastrectomy

gastric sleeve, vertical sleeve gastrectomy, VSG

Around 80% of the stomach is removed to leave a much smaller, sleeve-shaped tube, under general anaesthetic and normally through keyhole incisions. The NHS puts the operation at one to three hours.

6 published prices

end-of-life (1)

Assisted dying

assisted suicide, accompanied suicide, voluntary assisted dying

A person who wishes to end their life is prescribed a lethal drug by a doctor and takes it themselves, with an organisation present.

3 published prices

general-surgery (2)

Gallbladder removal

cholecystectomy, laparoscopic cholecystectomy, lap chole

The gallbladder is removed through four small incisions with a camera, or through a larger cut where the keyhole route fails.

4 published prices

Hernia repair

herniorrhaphy, hernioplasty, inguinal hernia repair

A defect in the abdominal wall is closed and usually reinforced with a synthetic mesh, through an open incision or through keyhole ports. The commonest general-surgical operation in most countries.

4 published prices

gynaecological (1)

Hysterectomy

total laparoscopic hysterectomy, abdominal hysterectomy, vaginal hysterectomy

The uterus is removed — through the abdomen, through the vagina, or through keyhole incisions with a camera, which is the route the packages read for this record price.

3 published prices

reproductive (1)

Abortion

termination of pregnancy, induced abortion, medical abortion

A pregnancy is ended, either with drugs or with a procedure. The drug route is two medicines taken a day or two apart, most of it completed at home, and it is used in early pregnancy.

3 published prices

urological (1)

Prostatectomy

radical prostatectomy, robotic-assisted radical prostatectomy, RARP

For cancer, the whole prostate and the seminal vesicles are removed and the bladder rejoined to the urethra — increasingly through a robotic console, with four nights on the Bangkok package read for this record.

4 published prices

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