Dr. Raj Nagarkar has performed over 50,000 cancer surgeries with _doctor_2241_years_ of experience, specializing in breast and thoracic oncology. Mastectomy at HCG Manavata Cancer Centre may cost around $2,650–$3,800. The NABH-accredited facility features 40+ oncologists and has treated 100,000+ patients globally. Dr. Nagarkar trained at Tata Memorial Hospital and holds MRCS from Royal College of Surgeons, Edinburgh.
HCG Manavata Cancer Centre is Maharashtra's first NABH-accredited cancer hospital, treating over 75,000 patients yearly. It specializes in cancer care, nuclear medicine, radiotherapy, bone marrow transplant, and pediatric oncology. This integrated center has served 100,000+ patients from around the world.
Dr. Shruti Kate specializes in breast cancer treatment, with expertise in both conservative and surgical approaches, including mastectomy. She trained at Tata Memorial Hospital, one of India's top cancer centers.
Dr. Shruti Kate is a medical oncologist at HCG Manavata Cancer Centre in Nashik. She previously worked as a consultant at the Tata Memorial Hospital in Mumbai. Dr. Kate focuses on immunotherapy and metronomic therapy for treating solid and pediatric tumors. She was the sole recipient from India of the 2018 World Conference on Lung Cancer award.
HCG Manavata Cancer Centre is Maharashtra's first NABH-accredited cancer hospital, treating over 75,000 patients yearly. It specializes in cancer care, nuclear medicine, radiotherapy, bone marrow transplant, and pediatric oncology. This integrated center has served 100,000+ patients from around the world.
Dr. Chaitainya Borde has handled more than 30,000 PET scans and 1,000 thyroid cancer patients at HCG Manavata Cancer Centre.
The doctor is an experienced nuclear medicine specialist at HCG Manavata Cancer Centre with 12 years in the field. The doctor specializes in various nuclear scans, PET-CT scans, and nuclear cardiology services, demonstrating proficiency in radioiodine and Lu-177 RN therapies. Over the course of their career, the doctor has managed more than 30,000 PET scans and treated over 1,000 thyroid cancer patients. Additionally, the doctor has contributed to the field through published papers in various medical journals.
","specialities":[{"id":"onc.001","name":"Clinical oncologist","illness_kind_id":10},{"id":"onc.005","name":"Radiation oncologist","illness_kind_id":10}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":1249,"alias":"hcg-manavata-cancer-centre","name":"HCG Manavata Cancer Centre","short_description":"HCG Manavata Cancer Centre is Maharashtra's first NABH-accredited cancer hospital, treating over 75,000 patients yearly. It specializes in cancer care, nuclear medicine, radiotherapy, bone marrow transplant, and pediatric oncology. This integrated center has served 100,000+ patients from around the world.
Dr. Sridhar P.S. brings extensive expertise in radiotherapy, particularly following mastectomy, at HCG Manavata Cancer Centre.
The doctor graduated with a Bachelor of Medicine from Mysore University in 1996, followed by a Doctor of Medicine in radiotherapy from Banaras Hindu University in 2002. Further enhancing expertise, the doctor earned a Diplomate of National Board in radiotherapy in 2004.
The doctor is a member of several prestigious organizations, including the Association of Radiation Oncology of India, the Society for Neuro-Oncology, the Bangalore Oncology Group, and the Indian Association of Hyperthermia Oncology, reflecting a strong commitment to advancing the field of oncology.
","specialities":[{"id":"onc.005","name":"Radiation oncologist","illness_kind_id":10}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":1249,"alias":"hcg-manavata-cancer-centre","name":"HCG Manavata Cancer Centre","short_description":"HCG Manavata Cancer Centre is Maharashtra's first NABH-accredited cancer hospital, treating over 75,000 patients yearly. It specializes in cancer care, nuclear medicine, radiotherapy, bone marrow transplant, and pediatric oncology. This integrated center has served 100,000+ patients from around the world.
Dr. Banswal has performed over 10,000 major surgeries, with a special focus on minimally invasive cancer surgeries for excellent patient outcomes.
Dr. Lalit Banswal is a surgical oncologist at HCG Manavata Cancer Centre in Nashik. He has successfully performed more than 10,000 major surgeries. Dr. Banswal focuses on gastrointestinal cancer and robotic surgical techniques. He completed a two-year fellowship at the Tata Medical Centre, Kolkata.
HCG Manavata Cancer Centre is Maharashtra's first NABH-accredited cancer hospital, treating over 75,000 patients yearly. It specializes in cancer care, nuclear medicine, radiotherapy, bone marrow transplant, and pediatric oncology. This integrated center has served 100,000+ patients from around the world.
Dr. Shaikh specializes in oral cancer surgeries with a focus on organ preservation and functional rehabilitation at HCG Manavata Cancer Centre.
Dr. Ahmer Arif Shaikh is a surgical oncologist at HCG Manavata Cancer Centre. He specializes in oral cancer treatment with a focus on organ preservation. Dr. Shaikh completed fellowship training in head and neck surgical oncology at the same center. He is proficient in performing major maxillofacial and head and neck surgeries.
HCG Manavata Cancer Centre is Maharashtra's first NABH-accredited cancer hospital, treating over 75,000 patients yearly. It specializes in cancer care, nuclear medicine, radiotherapy, bone marrow transplant, and pediatric oncology. This integrated center has served 100,000+ patients from around the world.
50,000+ cancer surgeries performed – Dr. Raj specializes in breast and thoracic surgical oncology at HCG Manavata Cancer Centre.
Dr. Raj Nagarkar has performed over 50,000 cancer surgeries at HCG Manavata Cancer Centre. He specializes in breast and thoracic surgical oncology. Dr. Nagarkar trained at the prestigious Tata Memorial Hospital in Mumbai. He is a Member of the Royal College of Surgeons in Edinburgh.
HCG Manavata Cancer Centre is Maharashtra's first NABH-accredited cancer hospital, treating over 75,000 patients yearly. It specializes in cancer care, nuclear medicine, radiotherapy, bone marrow transplant, and pediatric oncology. This integrated center has served 100,000+ patients from around the world.
Dr. Shaunak Valame presented groundbreaking research on stomach cancer at the American Society of Clinical Oncology symposium in San Francisco.
Dr. Shaunak Valame is a medical oncologist at HCG Manavata Cancer Centre in Nashik. He specializes in the molecular basis of cancer and targeted therapies. Dr. Valame completed his DNB training in medical oncology at Indraprastha Apollo Hospital. He previously served as a registrar at Jawaharlal Nehru Cancer Hospital.
HCG Manavata Cancer Centre is Maharashtra's first NABH-accredited cancer hospital, treating over 75,000 patients yearly. It specializes in cancer care, nuclear medicine, radiotherapy, bone marrow transplant, and pediatric oncology. This integrated center has served 100,000+ patients from around the world.
Mastectomy is a radical treatment for breast cancer.
Unlike lumpectomy (tumor removal), mastectomy involves resection of the entire breast.
Indications for total breast removal:
Also, during a mastectomy, regional (axillary) lymph nodes are removed.
Lymphedema is swelling of the extremities caused by stagnation of lymph after removal of the lymph node.
Edema can develop immediately after surgery, and after a fairly long time.
Lymph stasis is characterized by:
Day 1 - Arrival
\nDay 2 - Pre-operation
\nDay 3 - Mastectomy
\nDay 4 - Post-operation
\nWeek 1 - 2 - Rehabilitation
\nWeek 3 - 6 - Rehabilitation
\nWeek 7 - 12 - Rehabilitation
\nEach case is individual, please consult with your physician for specific details.
"},"overview":{"text":"It is a surgical procedure to remove one or both breasts, partially or completely, to treat or prevent breast cancer.
This operation removes cancerous tissues from the breast, helping to halt disease growth and aiding overall treatment.
"},"279":{"operation":{"name":"Gland therapy for breast cancer","alias":"gland-therapy-for-breast-cancer","use_for_listing":false},"country_price":{"US":{"amount":24000,"max_amount":42000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3900,"max_amount":6800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":5200,"max_amount":7500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":9000,"max_amount":16000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":2200,"max_amount":12000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"IN":{"amount":3200,"max_amount":5500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":false,"TH":false,"AT":false,"ES":true,"IN":false},"description":"This therapy treats breast tumors by applying medication directly to the gland, reducing side effects and improving efficacy.
"},"286":{"operation":{"name":"Lumpectomy ","alias":"lumpectomy","use_for_listing":true},"country_price":{"US":{"amount":14000,"max_amount":24000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":2500,"max_amount":9100,"currency":"USD","clinic_count":10,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":2200,"max_amount":6500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"AT":{"amount":5800,"max_amount":9500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":11200,"max_amount":16800,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"IN":{"amount":1800,"max_amount":3800,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":true,"AT":false,"ES":true,"IN":true},"description":"The procedure removes only cancerous breast tissue, sparing the remaining healthy part, ensuring quicker recovery.
"},"289":{"operation":{"name":"Intrabeam","alias":"intrabeam","use_for_listing":false},"country_price":{"US":{"amount":18000,"max_amount":30000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":7500,"max_amount":11000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":5000,"max_amount":7500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":4800,"max_amount":8000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":6500,"max_amount":9500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"IN":{"amount":3800,"max_amount":5800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":false,"TH":false,"AT":false,"ES":false,"IN":false},"description":"This therapy is a targeted, low-dose radiation treatment for cancer, applied directly to the tumor site during surgery, minimizing side effects.
"}}},"cityPrices":{"operation_prices":{"9":{"operation":{"id":9,"name":"Mastectomy","alias":"mastectomy"},"city_price":[{"amount":2800,"max_amount":0,"currency":"USD","clinic_count":2,"price_kind":"from","price_source":"tariff","scope":"city","city":{"id":95,"name":"Delhi","alias":"delhi","profile":{"city_id":95,"city_type":"Megacity and union territory of India","access":["Delhi Airport (DEL), 16 km from the city center"],"sources":["https://en.wikipedia.org/wiki/Delhi","https://en.wikipedia.org/wiki/Indira_Gandhi_International_Airport"],"status":"ok","checked_at":"2026-11-03"}}},{"amount":3000,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"city","city":{"id":1591,"name":"Nashik","alias":"nashik","profile":{"city_id":1591,"city_type":"City in northern Maharashtra, India","access":["Mumbai Airport (BOM), 175 km from Nashik"],"sources":["https://en.wikipedia.org/wiki/Nashik","https://www.holidify.com/places/nasik/how-to-reach.html"],"status":"ok","checked_at":"2026-11-03"}}},{"amount":3200,"max_amount":5800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"city","city":{"id":96,"name":"Mumbai","alias":"mumbai","profile":{"city_id":96,"city_type":"Financial capital of India","access":["Mumbai Airport (BOM), 21 km from central Mumbai"],"sources":["https://en.wikipedia.org/wiki/Mumbai","https://www.worldtravelguide.net/guides/asia/india/mumbai-bombay/mumbai-chhatrapati-shivaji-international-airport/"],"status":"ok","checked_at":"2026-11-03"}}},{"amount":3400,"max_amount":6200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"city","city":{"id":94,"name":"Gurgaon","alias":"gurgaon","profile":{"city_id":94,"city_type":"Satellite city of Delhi in Haryana","access":["Delhi Airport (DEL), 14 km from Gurugram center"],"sources":["https://en.wikipedia.org/wiki/Gurgaon","https://airportdistancecalculator.com/closest-airports-to-gurugram-india.html"],"status":"ok","checked_at":"2026-11-03"}}}]}}},"videoReviews":[{"id":"b8c75ace-4f1f-46d8-9887-d9e0b74bfdb6","link":"https://player.vimeo.com/video/1096293607?badge=0&autopause=0&player_id=0&app_id=58479","description":"My companion and I were treated with such kindness — I have nothing but admiration for the entire team.","userName":"Amanda","user_name":"Amanda","preview":"https://i.vimeocdn.com/video/2030326588-92c5121ee6fb5bedb09b0cf12abe66667acab73d0dea713b5168e6353daa6b76-d?mw=600&mh=1067&q=70","updated_at":"2025-06-26T10:47:55.613+00:00","clinicName":"Lokman Hekim Istanbul Hospital","clinic":{"name":"Lokman Hekim Istanbul Hospital","alias":"lokman-hekim-istanbul"},"clinicUrl":"/clinic/lokman-hekim-istanbul/","relations":{"operations":[{"name":"Mastectomy","alias":"mastectomy"},{"name":"Sarcoma surgery","alias":"removal-of-ewing-s-sarcoma"}]}}],"hasVideoReviewsByContext":true,"externalReviews":[{"id":"694e82fe3186d29a24098929","source":"google","clinic_id":1249},{"id":"694e8312f0abea59d00badb7","source":"google","clinic_id":1249},{"id":"694e831e62836ec3aa087ff7","source":"google","clinic_id":1249},{"id":"694e8338f0abea59d00badb8","source":"google","clinic_id":1249},{"id":"694e833e62836ec3aa087ff8","source":"google","clinic_id":1249}],"responsibleDoctor":{"id":290,"alias":"yesim-yildirim","name":"Yesim Yildirim","photo":"doctor/699da18e34fa6","advisory_text":"20 years of experience\nMedical oncologist, ESMO certified","advisoryText":"20 years of experience\nMedical oncologist, ESMO certified","specialities":[{"id":"onc.001","name":"Clinical oncologist","illness_kind_id":10}]},"updatedAt":"2026-11-13T12:19:06.000Z","activeCountries":["IN","TR","AT","ES","TH"],"operationIndicators":{"details":{"days_in_clinic":0,"days_in_country":0,"rehabilitation_days":0,"satisfied_percent":78,"treatment_duration_hours":0},"illness_kind_details":{"requests_processed":46119}},"direction":{"id":10,"name":"Oncology","alias":"oncology","name_forms":{"base_form":"Oncology","form_4":"oncologist","form_6":"oncologists","form_11":"oncologists"}},"illness_kind":{"id":10,"name":{"en":"Oncology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":14,"max":42,"unit":"days","qualifier":"For simple total/simple mastectomy without reconstruction in desk-based work; longer with physical work, axillary surgery or drains."},"complication_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Any complication within 30-90 days, mainly seroma, infection, hematoma, flap necrosis; serious ones under 5%"},"contraindications":["Severe uncontrolled cardiopulmonary disease precluding anesthesia (relative)","Uncorrected bleeding disorder or unmanaged therapeutic anticoagulation","Active uncontrolled infection at the surgical site","Pregnancy (needs specialist planning; relative)","Metastatic disease where surgery offers no clinical benefit"],"days_in_clinic":{"min":7,"max":14,"unit":"nights","qualifier":"Includes 0–2 hospital nights; total stay 7–14 nights until drain removal and first review."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":8,"unit":"weeks","qualifier":"Gentle shoulder range-of-motion earlier; strenuous upper-body exercise after surgeon clearance."},"final_result_months":{"min":3,"max":12,"unit":"months","qualifier":"Scar maturation and resolution of swelling and altered sensation; without reconstruction."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"After drain removal and first wound check; longer with axillary dissection, drains in place or complications."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"First postoperative review, often with drain removal."}},{"purpose":"result_review","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Pathology results discussion and planning of any further treatment."}},{"purpose":"assessment","requirement":"conditional","after":{"min":28,"max":56,"unit":"days","qualifier":"Healing and shoulder function check."}}],"indications":["Breast cancer or DCIS where breast-conserving surgery is unsuitable","Multicentric or extensive disease, or recurrence after breast-conserving therapy","Risk-reducing surgery in high-risk patients (e.g., BRCA mutation)","Persistent positive margins after lumpectomy","Selected locally advanced disease after systemic therapy"],"main_risks":["Bleeding or hematoma","Seroma","Wound infection","Delayed wound healing or skin flap necrosis","Chronic pain or post-mastectomy pain syndrome","Numbness or altered chest wall sensation","Shoulder stiffness","Lymphedema if axillary surgery is performed","Psychological and body image impact","Anesthesia-related risks and venous thromboembolism"],"pain":"Moderate pain and tightness in the first few days, managed with oral analgesics; typically improves over 1–2 weeks. Some patients develop lingering chest wall or axillary discomfort.","preparation":["Preoperative imaging and pathology review","Consultation on mastectomy type, axillary management, reconstruction options","Medical assessment and routine blood tests","Fasting before general anesthesia","Medication review with the surgical team","Stop smoking where possible","Arrange help at home and loose front-opening clothing"],"recovery_timeline":[{"phase":"Days 0–3","description":"Hospital stay or same-day discharge; drain care taught if drains placed; walking encouraged.","restrictions":["No driving while on opioid analgesics","Avoid lifting"]},{"phase":"Weeks 1–2","description":"Drain removal, wound healing, gentle arm and shoulder exercises.","restrictions":["Avoid lifting over a few kilograms","Keep dressings dry as advised"]},{"phase":"Weeks 3–6","description":"Return to light activity and desk work; increasing arm mobility.","restrictions":["Avoid strenuous upper-body activity"]},{"phase":"Weeks 6–12","description":"Return to full activity after clearance; scar softening; prosthesis fitting if desired.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery of daily activities and arm and shoulder mobility after simple mastectomy."},"result_longevity":"Removal of breast tissue is permanent; the breast does not regrow. Cancer recurrence risk depends on disease stage and further treatment.","revision_rate_pct":{"min":2,"max":6,"unit":"percent","qualifier":"Unplanned return to theatre within 30 days, mostly for hematoma, infection or wound problems"},"scars":"A flat horizontal or oblique scar across the chest wall, usually 15–25 cm, fading over 6–12 months. Nipple-sparing techniques use shorter incisions. A drain site scar may remain.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for mastectomy alone, without staged reconstruction."},"stages":[{"code":"mastectomy_surgery","label":"Mastectomy operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on day of procedure."}}],"qualifier":"Standalone unilateral mastectomy without reconstruction."},"success":{"metric":"Local control: no chest wall recurrence","value":95,"unit":"percent","horizon":"10 years","population":"Adults with early-stage breast cancer undergoing simple mastectomy without reconstruction","evidence_status":"limited"},"techniques":[{"name":"Total (simple) mastectomy","suits_whom":"Most patients needing removal of all breast tissue, including prophylactic cases.","recovery":"Usually 2–6 weeks to return to routine activity."},{"name":"Skin-sparing or nipple-sparing mastectomy","suits_whom":"Patients planning immediate reconstruction with suitable tumor location.","recovery":"Depends on reconstruction; generally longer than simple mastectomy."},{"name":"Modified radical mastectomy","suits_whom":"Patients with confirmed axillary node involvement needing axillary dissection.","recovery":"Often 4–8 weeks; higher risk of lymphedema and shoulder stiffness."}],"treatment_conditions":["day_case","inpatient"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Unilateral simple mastectomy without reconstruction; longer with axillary dissection or bilateral surgery."},"initial_assessment_documents":["Breast biopsy pathology report","Mammogram and breast ultrasound reports","Breast MRI report (if available)","Imaging discs or files of breast scans","Genetic test results (if available)","Oncology treatment plan (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single operation; stay about 7-14 days for drain removal and first review. Later checks usually done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the surgeon will explain the risks and complications of your procedure","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/reconstructive-procedures/breast-reconstruction/questions","host":"plasticsurgery.org","quote":"What are the risks and complications associated with my procedure?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check the qualifications of the medical team that will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Ask about the clinic's regulation and its record on infection rates","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/think-over-before-you-make-over/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"You should ask about the regulation of the clinic, its record on infection rates.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Confirm how your aftercare will be coordinated before you commit to treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery 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treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"No chance to talk with the surgeon about your surgery and ask questions","scope":"procedure","source":{"url":"https://www.nhs.uk/conditions/mastectomy/what-happens/","host":"nhs.uk","quote":"You'll have a chance to talk with your surgeon or specialist nurse about your surgery, and ask questions.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F4","text":"The clinic will not let you speak to patients it has treated before","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/think-over-before-you-make-over/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Ask if you can speak to patients they've treated before.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-12","next_check_at":"2027-02-10"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Gives your home doctor information on treatment and future care needs","document":"discharge letter for your gp","source":{"url":"https://www.nhs.uk/nhs-services/hospitals/going-into-hospital/being-discharged-from-hospital","host":"nhs.uk","quote":"You'll also be given a letter for your GP, providing information about your treatment and future care needs.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","text":"Home 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