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Later reviews can be remote."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Require a medical evaluation covering your full medical history before the procedure","scope":"treatment_type","source":{"url":"https://www.plasticsurgery.org/news/briefing-papers/briefing-paper-cosmetic-surgery-tourism","host":"plasticsurgery.org","quote":"Consult with your plastic surgeon for an evaluation and discuss your full medical history to determine the most appropriate treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Ask how many procedures of this type the surgeon has performed","scope":"treatment_type","source":{"url":"https://www.plasticsurgery.org/news/briefing-papers/briefing-paper-cosmetic-surgery-tourism","host":"plasticsurgery.org","quote":"How many procedures of this type have you performed?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Confirm the surgeon has hospital privileges to 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take unnecessary risks when choosing cosmetic surgery vacations by unknowingly selecting unqualified physicians and having procedures performed in non-accredited surgical facilities.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The surgeon who will operate is not met before the day of surgery","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/medical-tourism-what-you-need-to-know-about-traveling-for-plastic-surgery","host":"plasticsurgery.org","quote":"If they don't have the opportunity to meet with the surgeon who's actually performing the procedure before the day of surgery, I would say that's a huge, major red flag,","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"The provider's specialty is unclear from the call or the 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