Prof. Andreas Sesterhenn, a chief otolaryngologist with 11 years’ experience, operates at this academic hospital of the University of Cologne. The clinic is a certified trauma center and a 'Top clinic' according to Focus magazine. Diagnostics start from $130 for audiometry. Deviated septum surgery typically costs $7,060–7,500, covering ENT exam, consultation, the procedure, anesthesia, and aftercare.
","text_type":"mt_wow_description","best_texts":{"techniques":"Endoscopic surgery, robotic surgery, septoplasty","good_fit_for":"Complex or recurrent nasal obstructions","why_its_ranked":"Performs over 15,000 ENT procedures annually. Specializes in minimally invasive techniques. Head ENT physician is a certified oncologist for complex cases."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":30,"price_to":90,"currency":"USD","id":16353},"diagnostic":{"id":21,"name":"ECG","alias":"ecg"}},{"prices":{"price_from":150,"price_to":350,"currency":"USD","id":13614},"diagnostic":{"id":84,"name":"Extended analysis of blood","alias":"extended-analysis-of-blood"}}],"reviews":[],"clinic":{"id":268,"alias":"medical-center-in-solingen","name":"Medical Center in Solingen","short_description":"Medical Center in Solingen is an Academic Hospital of the University of Cologne. It ranks among Germany's top clinics by Focus magazine. Core specialties include neurosurgery, gastroenterology and cancer, and the breast center.
Helios Gesundheit operates a network of DKG-certified centers with over 25 years of quality monitoring experience. Surgeons perform septoplasty by reshaping and re-implanting cartilage through internal incisions to restore nasal breathing. This approach avoids external scarring and typically removes the need for painful nasal packing. The treatment includes a 2-night hospital stay for post-operative care and silicone foils to stabilize the septum. International patients have access to dedicated support services and interpreters at this German academic teaching facility.
","text_type":"mt_wow_description","best_texts":{"good_fit_for":"Patients with a severely deviated septum and enlarged turbinates","why_its_ranked":"Uses a technique where cartilage/bone is temporarily removed, straightened, and reimplanted with silicone stabilization. Can also reduce enlarged nasal conchae in the same surgery."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":7769,"alias":"helios-universitaetsklinikum-wuppertal","name":"Helios Gesundheit","short_description":"Helios Gesundheit is a multispecialty hospital network across Germany. Key departments include cardiology, gastroenterology, oncology, and orthopedics. The group also offers specialized pediatric care and maternity services. The network treats around 5.5 million people each year. About 78,000 employees support these clinical operations. Several locations are teaching hospitals for the University of Witten-Herdecke.
The network holds many certifications from the German Society of Cardiology. These include recognitions for Chest Pain Units and Heart Failure Units. Specialized centers are also certified for hernia surgery and trauma care. Oncology departments include DKG-certified centers for breast and skin cancer. Clinics use advanced technology like the Da Vinci robotic system. Specialized teams also perform custom-made shoulder joint replacements for complex cases.
","images":[{"base_url":"clinic/6ac8a229ace62","title":"Helios Klinik Rottweil main entrance, modern brick medical facility in Germany"},{"base_url":"clinic/6ac8a22b7b107","title":"Modern glass facade of Helios Klinikum Krefeld hospital in Germany"},{"base_url":"clinic/6ac8a22d81c1d","title":"Helios Klinik Wesermarsch exterior view in Germany with modern building and flags"},{"base_url":"clinic/6ac8a22f88955","title":"Helios Klinik Wesermarsch modern clinic building in Germany"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Germany","id":22,"alias":"germany","iso_code":"DE"},"city":{"name":"Wuppertal","id":2687,"alias":"wuppertal"},"address":"Heusnerstraße 40, 42283 Barmen, Germany"},"rating":{"rating":0,"google":3.4,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":51},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/614dbaf74d46e.jpeg","name":"International Accreditation System for Interventional Oncology Services (IASIOS)"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db9832f9d8cf.jpeg","name":"German Cancer Society","country_code":"DE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6841934325139.jpeg","name":"ISO 9001:2015 Quality management systems"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88caba297f8.jpeg","name":"Fellow, American College of Surgeons","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Charité is the most famous university hospital in Europe. More than half of Germany's Nobel Prize winners in medicine work here. Core specialties are oncology, neurology, and surgery. It is certified by the German Cancer Society (DKG).
Charité is the most famous university hospital in Europe. More than half of Germany's Nobel Prize winners in medicine work here. Core specialties are oncology, neurology, and surgery. It is certified by the German Cancer Society (DKG).
University Hospital Heidelberg is an academic medical center. It is linked to Heidelberg University with three Nobel laureates in medicine. It treats over 310,000 patients yearly and hosts doctors from Asia, the US, and Israel for training. Core specialties include urology, thoracic surgery, hematology/oncology, and endoscopy.
University Hospital Heidelberg is an academic medical center. It is linked to Heidelberg University with three Nobel laureates in medicine. It treats over 310,000 patients yearly and hosts doctors from Asia, the US, and Israel for training. Core specialties include urology, thoracic surgery, hematology/oncology, and endoscopy.
Hospital in the Pfeiffer's foundations is a diaconal hospital with 21 specialties. It focuses on mammalogy, oncology, and hematological disorders. The hospital holds a KTQ certificate.
Hospital in the Pfeiffer's foundations is a diaconal hospital with 21 specialties. It focuses on mammalogy, oncology, and hematological disorders. The hospital holds a KTQ certificate.
University Hospital of Giessen and Marburg is the largest medical complex in Western Europe and one of its oldest hospitals. It is also the third largest hospital in Germany, with 45 specialized departments. Its core specialties include lung transplantation, spine treatment, and oncology.
University Hospital of Giessen and Marburg is the largest medical complex in Western Europe and one of its oldest hospitals. It is also the third largest hospital in Germany, with 45 specialized departments. Its core specialties include lung transplantation, spine treatment, and oncology.
Elbland Clinic has academic partnerships with TU Dresden and Carl Gustav Carus Medical Faculty. Its core specialties include orthopedics, oncology, and surgery. The clinic treats over 300,000 patients annually.
Elbland Clinic has academic partnerships with TU Dresden and Carl Gustav Carus Medical Faculty. Its core specialties include orthopedics, oncology, and surgery. The clinic treats over 300,000 patients annually.
Burger Hospital is a KTQ-certified multi-specialty hospital in Frankfurt am Main. Its main areas are internal medicine, pulmonology, gastroenterology, and endocrinology.
Burger Hospital is a KTQ-certified multi-specialty hospital in Frankfurt am Main. Its main areas are internal medicine, pulmonology, gastroenterology, and endocrinology.
Clinic Frankfurt Höchst is a hospital with Germany's first digital volume tomography device for ENT imaging. It specializes in otorhinolaryngology, head and neck surgery, and plastic surgery. Over 3,000 operations are performed each year.
Clinic Frankfurt Höchst is a hospital with Germany's first digital volume tomography device for ENT imaging. It specializes in otorhinolaryngology, head and neck surgery, and plastic surgery. Over 3,000 operations are performed each year.
Diagnostic Center DOC Dortmund is a centralized clinic where patients complete a full body exam in 24 hours. It specializes in diagnostics and comprehensive health examinations. The center uses modern 3D computer diagnostics and handles all documents for international patients.
Diagnostic Center DOC Dortmund is a centralized clinic where patients complete a full body exam in 24 hours. It specializes in diagnostics and comprehensive health examinations. The center uses modern 3D computer diagnostics and handles all documents for international patients.
Dr. Buhl is a distinguished neurosurgeon specializing in complex brain and spinal cord surgeries, with a strong focus on minimally invasive techniques.
Dr. Ralf Buhl is a neurosurgeon who has performed over 4,000 successful surgeries. He heads the Neurosurgery Department at the Medical Center in Solingen. Dr. Buhl is a Doctor of Medical Sciences specializing in minimally invasive and endoscopic techniques. He focuses on treating brain tumors, spinal pathologies, and peripheral nervous system disorders.
Medical Center in Solingen is an Academic Hospital of the University of Cologne. It ranks among Germany's top clinics by Focus magazine. Core specialties include neurosurgery, gastroenterology and cancer, and the breast center.
Prof. Andreas Sesterhenn leads the Otolaryngology Department in Solingen, performing precise endoscopic and robotic surgeries with incisions as small as 1 cm.
Dr. Andreas Sesterhenn is the Chief Physician of Otolaryngology and Plastic Surgery at Solingen Clinic. He specializes in tumor removal for the head, neck, and upper airways. Dr. Sesterhenn uses robotic systems for interventions through incisions as small as 1 cm. Developed expertise in surgical medicine through training in the USA and Germany.
Medical Center in Solingen is an Academic Hospital of the University of Cologne. It ranks among Germany's top clinics by Focus magazine. Core specialties include neurosurgery, gastroenterology and cancer, and the breast center.
Medical Center in Solingen is an Academic Hospital of the University of Cologne. It ranks among Germany's top clinics by Focus magazine. Core specialties include neurosurgery, gastroenterology and cancer, and the breast center.
Medical Center in Solingen is an Academic Hospital of the University of Cologne. It ranks among Germany's top clinics by Focus magazine. Core specialties include neurosurgery, gastroenterology and cancer, and the breast center.
Deviated septum treatment cost in Germany generally includes diagnostic fees like a CT of the paranasal sinuses for _diag_490_price_from_ to _diag_490_price_to_ and major surgical interventions. Prices depend on the complexity of the airway obstruction and the clinic tier. Patients often save 30-50% compared to the US. Top cities for this treatment include Berlin, Hamburg, and Solingen.
\nTypical Deviated Septum Treatment Costs in Germany
\nBookimed Expert Insight: For complex cases requiring advanced expertise, University hospitals like Charité Berlin offer specialized surgical departments. Patients seeking top-tier care often choose Professor Andreas Sesterhenn at Solingen, a FOKUS-rated expert. Basic septoplasty procedures in these centers typically start around $2,600. Large multidisciplinary complexes like Asklepios provide ISO-standard infrastructure for international patients. These clinics coordinate diagnostics and surgery within one efficient stay.
"},"pros_cons_mc":{"text":"What patients like
\nWhat patients don't like
\nArrival
\nDiagnostics
\nTreatment Plan Development
\nTreatment
\nFollow-up
\nRehabilitation
\nRemember, only a doctor can determine the appropriate diagnostic and treatment plan. The process can vary based on individual circumstances. Additional options could include therapies, rhinoplasty or non-surgical methods.
"}}},"faq":[{"id":"69e2920fc4cf5f5a7f0fb432","question":"Am I a suitable candidate for septoplasty in Germany?","answer":"You are a suitable candidate for septoplasty in Germany if you experience persistent nasal obstruction or chronic sinusitis. German specialists confirm eligibility through nasal endoscopy or paranasal sinus CT scans. Candidates must have completed facial growth, typically over 18 years of age. Good general health is required.
Bookimed Expert Insight: German clinics like Medical Center in Solingen and Asklepios Hospital Barmbek handle massive patient volumes, often exceeding 60,000 annually. This high frequency allows surgeons like Prof. Andreas Sesterhenn to specialize in sparing endoscopic techniques. In Germany, a 6 mm deviation or larger frequently justifies surgical intervention over conservative drug therapy.
Patient Consensus: Patients note that combining the procedure with turbinate reduction significantly improves breathing compared to septoplasty alone. Most emphasize that saline rinsing is essential for a smooth 2-week recovery period.
","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"69e2927ad6e0bb9b3f075d12","question":"How is septoplasty performed in German clinics and what surgical method will be used?","answer":"German clinics perform septoplasty as a precision-focused procedure primarily using endoscopic or microsurgical techniques. Surgeons prioritize restoring nasal airflow through internal incisions to avoid external scars. Most procedures last 60 to 90 minutes under general anesthesia within JCI or KTQ-accredited facilities.
Bookimed Expert Insight: German clinics like the Medical Center in Solingen often integrate septoplasty with plastic facial surgery. Prof. Dr. Andreas Sesterhenn holds a Focus Top Mediziner 2024 award specifically for ENT achievements. Data shows top-tier centers perform endoscopic operations through tiny incisions. This minimizes recovery time for the 15,000 head and neck patients they treat annually. University-affiliated clinics also offer microsurgical interventions that can last up to 12 hours for complex cases.
Patient Consensus: Patients emphasize requesting the endoscopic method and skipping traditional cotton packing for a more comfortable recovery. Most note that breathing improves significantly once silicone splints are removed after 5 to 7 days.
","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"69e292dbf4d3e4251e087e62","question":"What are the documented success rates and possible risks of septoplasty performed in Germany?","answer":"German otorhinolaryngology centers report septoplasty success rates between 85% and 90% for relieving nasal obstructions. This common procedure maintains high safety standards through ISO-certified quality management. Long-term failure requiring revision is rare. Documented revision rates range from 1.1% to 4.4% across specialized clinics.
Bookimed Expert Insight: German university hospitals like Charite or Heidelberg offer an advantage for complex cases. These centers perform over 300,000 procedures annually. High patient volumes often correlate with lower revision rates in difficult septal deviations. Surgeons like Professor Andreas Sesterhenn use endoscopic techniques to minimize tissue trauma during these interventions.
Patient Consensus: Patients note that breathing improvements are significant after initial swelling subsides. Many suggest planning for 2 weeks off work to manage early post-operative congestion effectively.
","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"69e293420d014472210c1722","question":"What kind of recovery and after-care should I expect if I do the surgery as an international patient in Germany?","answer":"Recovery for international deviated septum patients in Germany involves 1 to 2 days of hospital monitoring. Surgeons follow strict discharge protocols required by German law. You will receive a formal discharge letter and specific instructions for follow-up care with your local physician at home.
Bookimed Expert Insight: German medical complexes like Charite or Asklepios Barmbek handle up to 800,000 patients yearly. This high volume ensures standardized recovery protocols for international travelers. Choosing a clinic with ISO or JCI accreditation guarantees that discharge materials meet international communication standards. This makes your local follow-up much safer.
Patient Consensus: Patients note that having a translated discharge letter is vital for their doctors at home. Most emphasize that the structured German approach makes the first few days of breathing much easier to manage.
","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"69e293c0c8177cd7100ecf22","question":"Which hospitals or ENT centres in Germany have the most experience with international septoplasty patients?","answer":"Asklepios Klinik Barmbek and Medical Center in Solingen are primary choices for international septoplasty. Asklepios Barmbek is top-ranked for medical tourism by the Medical Travel Quality Alliance. Medical Center in Solingen features Prof. Andreas Sesterhenn, a top-rated ENT specialist managing complex nasal surgeries.
Bookimed Expert Insight: While university hospitals like Charité Berlin handle massive volumes, Medical Center in Solingen offers a more personalized experience. Prof. Sesterhenn provides 1-hour consultations that include a full history review and diagnostics. This depth of initial contact is rare in larger facilities with higher patient turnover.
Patient Consensus: Patients note that choosing university-affiliated centers in cities like Berlin allows for better English communication. Many recommend booking virtual consultations first to skip administrative delays and confirm the surgeon's fluency.
","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"69e2943591e61f1e440f6a42","question":"Will I have visible scars, external swelling or bruising after septoplasty?","answer":"Septoplasty in Germany typically leaves zero visible external scars because surgeons perform the procedure through internal incisions. Visible bruising is rare unless combined with rhinoplasty. While internal swelling is common, external swelling remains minimal and usually resolves within 1 to 2 weeks for most patients.
Bookimed Expert Insight: Data from leading German centers like the Medical Center in Solingen highlights the importance of surgical specialization. Prof. Andreas Sesterhenn, a Focus-ranked specialist, utilizes endoscopic techniques that minimize tissue trauma. Choosing an ENT specialist with focus on endoscopic surgery often results in lower external trauma compared to general surgeons.
Patient Consensus: Patients note that while the face looks normal quickly, the internal congestion feels like a severe cold. Many emphasize asking for dissolvable packing to ensure a more comfortable and gentle recovery process.
","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"69e294cb96e8fea4df0af402","question":"What travel documents, length of stay and logistics are practical for travelling to Germany for septoplasty?","answer":"Planning a septoplasty in Germany requires a 10 to 14-day stay for safe recovery. Foreign patients may need a Schengen Visa or ETIAS pre-approval. You must bring a clinic invitation letter, valid passport, and travel insurance covering 30,000 Euro to ensure entry.
Bookimed Expert Insight: Germany ranks third globally for medical requests on our platform. High-volume centers like Asklepios Hospital Barmbek serve over 110,000 patients annually. While university hospitals like Charite Berlin offer massive infrastructure, specialized centers like Medical Center in Solingen provide focused ENT expertise with surgeons like Prof. Andreas Sesterhenn who perform minimally invasive endoscopic procedures.
Patient Consensus: Patients note it is vital to book aisle seats or business class for flight comfort. They also suggest renting apartments near the clinic for more recovery space than hotels.
","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"69b2f81e9b9a6b0b83053092","question":"Which hospitals in Germany are top-rated for neurosurgery?","answer":"Germany features some of the worlds most prestigious neurosurgery departments, led by Charité – Universitätsmedizin Berlin and University Hospital Heidelberg. These centers excel in treating complex brain tumors and cerebrovascular disorders. They utilize advanced technologies like intraoperative MRI and computer-assisted neuronavigation to maximize procedural success.
Bookimed Expert Insight: Data shows that choosing high-volume centers often leads to more conservative treatment recommendations. At Medical Center Solingen, which treats 60,000+ patients yearly, surgeons frequently suggest physiotherapy over immediate surgery if risks appear high. This volume-based expertise ensures patients only undergo operations when statistically necessary for recovery.
Patient Consensus: Patients note that German specialists are very cautious and will explain all risks before proceeding. Many emphasize the comfort of modern facilities, though some mention that having a translator is helpful for navigating administrative paperwork.
","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"69b2f9049b9a6b0b83053094","question":"What are the reported success rates for high-complexity neurosurgery in Germany?","answer":"High-complexity neurosurgery in Germany demonstrates exceptional safety. Spinal fusions reach a 99% success rate. Primary brain tumor resections maintain a 97% survival rate. Functional independence is high. Over 82% of patients discharge directly home after treatment. German centers prioritize preserving neurological function using advanced mapping.
Bookimed Expert Insight: High-volume surgeons like Dr. Uwe Kehler at Asklepios Altona Clinic perform 2,000+ operations annually. Data shows these experts maintain success rates up to 90% for the most complex cerebral tumors. Choosing a specialist with 4,000+ personal surgeries, such as Dr. Ralf Buhl, ensures technical precision gathered over decades of practice.
Patient Consensus: Patients note that German surgeons often prioritize physical function over aggressive tumor removal. It is important to write down all questions in advance to make the most of short consultations with busy professors.
","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"69b2f9e2c62eefccdb059702","question":"What advanced technologies are routinely available in German neurosurgical clinics?","answer":"German neurosurgical clinics routinely integrate high-precision digital tools and real-time imaging into surgical practice. Core technologies include computer-assisted neuronavigation for brain and spinal procedures. Facilities like Asklepios Nord Clinic use intraoperative MRI to verify tumor removal in real time. These systems provide a 3D GPS for surgeons.
Bookimed Expert Insight: High-volume centers like Charité – Universitätsmedizin Berlin perform 4,000+ neurosurgeries annually, creating a data-rich environment for refining robotic protocols. Medical Center in Solingen offers specialized packages for herniated disc surgery including preoperative diagnostics. This volume allows German clinics to negotiate better rates for consumables, keeping advanced tech accessible.
Patient Consensus: Patients note that modern German clinics significantly reduce recovery times compared to older surgical methods. Many describe the experience as less painful due to smaller incisions and highly competent staff who explain every technical risk clearly.
","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"69b2fa588cf5d8b9280859e2","question":"What specialist training do practicing neurosurgeons in Germany complete?","answer":"Neurosurgeons in Germany must complete 6 years of specialized residency training after medical school. This structured program includes intensive care, clinical practice, and a mandatory surgical log. Candidates then pass a state board exam to earn the title Facharzt für Neurochirurgie.
Bookimed Expert Insight: German neurosurgery training emphasizes high-volume surgical experience. For example, Dr. Ralf Buhl at Medical Center in Solingen has performed 4,000+ surgeries. Dr. Jürgen Kiwit at Meoclinic Hospital brings 25+ years of expertise. This rigorous system ensures that specialists at major centers manage complex cases with proven precision.
Patient Consensus: Patients feel confident knowing their doctors underwent years of strict, state-monitored training. Many note that the detailed documentation of a surgeon's past procedures provides significant peace of mind before surgery.
","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"69b2fb078e7964918b0b74e2","question":"What language and licensure requirements apply to international surgeons aiming to train or observe neurosurgery cases in Germany?","answer":"International neurosurgeons must meet strict language and licensure standards to train or observe in Germany. Training requires a full medical license or temporary permit. Observers need hospital-specific approval. Both paths demand high-level German proficiency to participate in clinical discussions and follow complex surgical protocols safely.
Bookimed Expert Insight: German clinics with high patient volumes, like Nordwest Clinic or Asklepios Nord, often prioritize candidates who have already secured their preliminary document evaluation. Our data shows that professors like Dr. Uwe Kehler and Dr. Paul Kremer manage thousands of cases annually. Demonstrating German B2 level early can bypass many bureaucratic delays in these busy departments.
Patient Consensus: Patients note that the language barrier is significant. They emphasize that while some international staff help, having a translator or a German-speaking doctor is vital for clear communication.
","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"69b2fb98dd9843dadb048d82","question":"Does Germany have enough neurosurgeons to handle both domestic and international patient volumes?","answer":"Germany maintains the highest density of neurosurgeons in Europe with 2.94 specialists per 100,000 residents. This robust workforce easily manages international volumes through 184 dedicated departments. Key facilities like Charite Berlin perform 4,000+ surgeries annually. High specialist availability ensures additional capacity for complex global cases.
Bookimed Expert Insight: While Germany has high specialist numbers, top-tier professors like Dr. Ralf Buhl or Dr. Uwe Kehler are often concentrated in major hubs like Hamburg or Solingen. Our data shows these high-volume centers actually offer faster access for international patients than smaller clinics. Large academic hospitals maintain dedicated tracks for complex cases, effectively bypassing local capacity bottlenecks found in rural areas.
Patient Consensus: Patients often note that while surgeons are highly professional, clear communication about reports can sometimes take time. One patient mentioned that recovery periods in German clinics are now much shorter and less painful than in previous decades.
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