Advance Health Medical Center is a multispecialty facility in Tijuana, Mexico. The center focuses on plastic surgery, orthopedics, and bariatric surgery. Its surgical setup includes three operating rooms and an endosuite. The clinic also offers gender reassignment surgery with over 10 years of experience. A dedicated recovery house supports patients after surgery.
The medical team has over 15 years of experience with international patients. Orthopedic specialists bring 36 years of combined experience. Dr. Erik Márquez won first place in an international plastic surgery residents competition. Specialists are members of the American Society of Plastic Surgeons and FILACP. All-inclusive logistics cover transport from San Diego Airport and accommodation.
","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":1844,"alias":"advance-medical-center","name":"Advance Health Medical Center","short_description":"Advance Health Medical Center is a multispecialty facility in Tijuana, Mexico. The center focuses on plastic surgery, orthopedics, and bariatric surgery. Its surgical setup includes three operating rooms and an endosuite. The clinic also offers gender reassignment surgery with over 10 years of experience. A dedicated recovery house supports patients after surgery.
The medical team has over 15 years of experience with international patients. Orthopedic specialists bring 36 years of combined experience. Dr. Erik Márquez won first place in an international plastic surgery residents competition. Specialists are members of the American Society of Plastic Surgeons and FILACP. All-inclusive logistics cover transport from San Diego Airport and accommodation.
","images":[{"base_url":"clinic/6a75ee5576b31","title":"Modern facade of CORE Medical & Surgical Center in Mexico"},{"base_url":"clinic/6a75ee573bec7","title":"Reception and waiting area at Advance Health Medical Center with modern seating"},{"base_url":"clinic/6a75ee58edce0","title":"Main entrance of Advance Health Medical Center with modern exterior in Mexico"},{"base_url":"clinic/6a75ee5a8ba23","title":"Waiting area at Advance Health Medical Center with modern seating and large windows"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Mexico","id":40,"alias":"mexico","iso_code":"MX"},"city":{"name":"Tijuana","id":396,"alias":"tijuana"},"address":"Calle Diego Rivera 2339-101, Zona Rio, CP 22010, Tijuana, BC, Mexico"},"rating":{"rating":5,"google":4.3,"percent_of_satisfied_clients":98},"statistics":{"number_of_reviews":5,"doctors_number":3},"accreditations":[],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Dr. Arturo Muñoz Meza brings 20+ years of experience with a record of zero severe complications in vaginoplasty procedures. The all-inclusive package may cost around $3,599, covering surgery, 1 night hospital stay, 2 nights at Grand Hotel Tijuana, pre-op tests, medications, and transfers. Patients recover in specialized medical beds at the 4-star hotel. The clinic offers both standard and laser techniques, with Angeles Hospital providing JCI-equivalent standards through Mexico's largest private medical network.
","text_type":"mt_wow_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":448,"alias":"dr-arturo-munoz-meza-plastic-surgery","name":" Dr. Arturo Muñoz Meza Plastic Surgery","short_description":"Dr. Arturo Muñoz Meza Plastic Surgery has 20+ years experience with no severe complications. It specializes in breast enlargement, liposuction, rhinoplasty, and mommy makeovers. Surgeries take place at Angeles Hospital, part of Mexico's largest private hospital network.
Advance Health Medical Center offers vaginoplasty procedures that may cost around $4,800. The clinic specializes in obstetrics and gynecology and is accredited by the Asociación Mexicana de Cirugía Plástica, Estética y Reconstructiva.
","text_type":"mt_wow_description","procedure_prices":[{"prices":{"price_from":3500,"price_to":6000,"currency":"USD","id":24097},"operation":{"id":810,"name":"Vaginoplasty","alias":"vaginoplasty"}}],"reviews":[],"clinic":{"id":554,"alias":"advance-health-medical-center","name":"Advance Health Medical Center","short_description":"Advance Health Medical Center in Tijuana offers treatment at 3–4 times lower cost than US clinics. Core specialties are spinal surgery, ophthalmology, and obstetrics/gynecology. It holds AMCPER accreditation from Mexico's plastic surgery association.
PLASTIKS Plastic Surgery Center is a specialized clinic in Tijuana founded by a board-certified plastic surgeon. It focuses on cosmetic and reconstructive plastic surgery for women and men.
PLASTIKS Plastic Surgery Center is a specialized clinic in Tijuana founded by a board-certified plastic surgeon. It focuses on cosmetic and reconstructive plastic surgery for women and men.
Ideal Surgery is a plastic surgery clinic in Tijuana, Mexico. It sits inside the NewCity Medical Plaza near the San Ysidro border. The practice focuses on high-definition body contouring and breast surgery. It also offers facial rejuvenation and male plastic surgery. Dr. Ariel Nieblas leads the clinic as a board-certified plastic surgeon. He created the signature Ultra BBL and Bikini tummy tuck techniques.
Live ultrasound guidance keeps fat transfers precise and avoids blind injections. The team uses HEus ultrasound-assisted liposuction for advanced fat liquefaction. Optional Dorian technology is available for skin tightening. A signature procedure is the 360-degree lipo-abdominoplasty with triple muscle repair. This builds an internal corset for strong core support. Most patients come from the U.S., Canada, and Mexico. Dr. Nieblas is an active member of the ASPS and CMCPER.
","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":8407,"alias":"ideal-surgery","name":"Ideal Surgery","short_description":"Ideal Surgery is a plastic surgery clinic in Tijuana, Mexico. It sits inside the NewCity Medical Plaza near the San Ysidro border. The practice focuses on high-definition body contouring and breast surgery. It also offers facial rejuvenation and male plastic surgery. Dr. Ariel Nieblas leads the clinic as a board-certified plastic surgeon. He created the signature Ultra BBL and Bikini tummy tuck techniques.
Live ultrasound guidance keeps fat transfers precise and avoids blind injections. The team uses HEus ultrasound-assisted liposuction for advanced fat liquefaction. Optional Dorian technology is available for skin tightening. A signature procedure is the 360-degree lipo-abdominoplasty with triple muscle repair. This builds an internal corset for strong core support. Most patients come from the U.S., Canada, and Mexico. Dr. Nieblas is an active member of the ASPS and CMCPER.
","images":[{"base_url":"clinic/6a83716da83ba","title":"NewCity Medical Plaza exterior in Tijuana, modern medical tourism facility"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Mexico","id":40,"alias":"mexico","iso_code":"MX"},"city":{"name":"Tijuana","id":396,"alias":"tijuana"},"address":"P.º del Centenario 9580, Zona Urbana Rio Tijuana, 22010 Tijuana, B.C."},"rating":{"rating":4.5,"google":4.5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88bd61a3cbb.jpeg","name":"American Society of Plastic Surgeons","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":5,"total_pages":1}},"clinicsMeta":{"total_count":5,"total_pages":1},"clinicsCount":5,"clinicsCountByEntity":{"clinic_count":323},"doctors":{"doctors":[{"card_text":"The doctor is a highly skilled gynecologist and plastic surgeon based in Tijuana, Mexico. Having completed a specialized medical education at the Autonomous University of Baja California (UABC), the doctor maintains a professional practice at the Advance Health Medical Center.
With a dual focus on gynecology and plastic surgery, the doctor provides expert clinical care and is recognized for excellence in surgical procedures within the Mexican medical community.
","specialities":[{"id":"oag.002","name":"Gynecologist","illness_kind_id":35}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":1844,"alias":"advance-medical-center","name":"Advance Health Medical Center","short_description":"Advance Health Medical Center is a multispecialty facility in Tijuana, Mexico. The center focuses on plastic surgery, orthopedics, and bariatric surgery. Its surgical setup includes three operating rooms and an endosuite. The clinic also offers gender reassignment surgery with over 10 years of experience. A dedicated recovery house supports patients after surgery.
The medical team has over 15 years of experience with international patients. Orthopedic specialists bring 36 years of combined experience. Dr. Erik Márquez won first place in an international plastic surgery residents competition. Specialists are members of the American Society of Plastic Surgeons and FILACP. All-inclusive logistics cover transport from San Diego Airport and accommodation.
","images":[{"base_url":"clinic/6a75ee5576b31","title":"Modern facade of CORE Medical & Surgical Center in Mexico"},{"base_url":"clinic/6a75ee573bec7","title":"Reception and waiting area at Advance Health Medical Center with modern seating"},{"base_url":"clinic/6a75ee58edce0","title":"Main entrance of Advance Health Medical Center with modern exterior in Mexico"},{"base_url":"clinic/6a75ee5a8ba23","title":"Waiting area at Advance Health Medical Center with modern seating and large windows"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Mexico","id":40,"alias":"mexico","iso_code":"MX"},"city":{"name":"Tijuana","id":396,"alias":"tijuana"},"address":"Calle Diego Rivera 2339-101, Zona Rio, CP 22010, Tijuana, BC, Mexico"},"rating":{"rating":5,"google":4.3,"percent_of_satisfied_clients":98},"statistics":{"number_of_reviews":5,"doctors_number":3},"accreditations":[]}},{"card_text":"Dr. Rafael Camberos is a board-certified plastic surgeon specializing in cosmetic and reconstructive procedures at PLASTIKS Plastic Surgery Center.
Dr. Rafael Camberos is the founder of PLASTIKS Plastic Surgery Center in Tijuana. He specializes in Brazilian Butt Lift (BBL), mommy makeovers, and rhinoplasty. Dr. Camberos is board-certified by the Mexican Council of Plastic, Aesthetic and Reconstructive Surgery. He works at a specialized clinic that treats approximately 450 patients every year.
PLASTIKS Plastic Surgery Center is a specialized clinic in Tijuana founded by a board-certified plastic surgeon. It focuses on cosmetic and reconstructive plastic surgery for women and men.
This therapy enhances vaginal sensitivity, using injectable fillers to amplify the erogenous zone, ensuring heightened sexual satisfaction.
"},"810":{"operation":{"name":"Vaginoplasty","alias":"vaginoplasty","use_for_listing":true},"country_price":{"US":{"amount":5500,"max_amount":12500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TR":{"amount":1600,"max_amount":3000,"currency":"USD","clinic_count":55,"price_kind":"from_range","price_source":"mixed","scope":"country"},"MX":{"amount":2200,"max_amount":3200,"currency":"USD","clinic_count":5,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":1500,"max_amount":7300,"currency":"USD","clinic_count":12,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"UA":true,"FR":false,"GB":true,"US":true,"IL":false,"TR":true,"MX":true,"DE":true,"CA":false,"AE":false,"TH":true,"PL":true,"KR":true,"CZ":true,"AT":false,"ES":true,"IT":false,"CN":false,"AU":false,"IN":true,"MY":true,"VN":true,"BR":false,"CO":true,"HU":true},"description":"The operation tightens the vagina through surgical reconstruction, enhancing sexual function and self-confidence.
"},"1007":{"operation":{"name":"Hymenoplasty (hymen restoration)","alias":"hymenoplasty-hymen-restoration","use_for_listing":true},"country_price":{"US":{"amount":3000,"max_amount":6500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TR":{"amount":1000,"max_amount":2500,"currency":"USD","clinic_count":22,"price_kind":"from_range","price_source":"tariff","scope":"country"},"MX":{"amount":1500,"max_amount":3200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":1800,"max_amount":2600,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":true,"TR":true,"MX":false,"TH":true},"description":"The procedure restores the hymen, offering physical virginity renewal and takes about 1-2 hours with minimal pain.
"},"1299":{"operation":{"name":"Vulvoplasty","alias":"vulvoplasty","use_for_listing":true},"country_price":{"US":{"amount":5000,"max_amount":8500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3000,"max_amount":6500,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"MX":{"amount":2200,"max_amount":3800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":7700,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"MX":false,"TH":true},"description":"This procedure reshapes female genitalia, often for aesthetics or comfort, through surgery, offering improved self-confidence and satisfaction.
"},"1348":{"operation":{"name":"Perineoplasty","alias":"perineoplasty","use_for_listing":true},"country_price":{"US":{"amount":4500,"max_amount":9000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":2000,"max_amount":4500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"MX":{"amount":2200,"max_amount":3800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":1500,"max_amount":2600,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"MX":false,"TH":false}},"1568":{"operation":{"name":"Hymenotomy","alias":"hymenotomy","use_for_listing":false},"country_price":{"US":{"amount":2800,"max_amount":5200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":450,"max_amount":1100,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"MX":{"amount":900,"max_amount":1700,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":650,"max_amount":1100,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":false,"MX":false,"TH":false}}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":5,"days_in_country":10,"rehabilitation_days":6,"satisfied_percent":78,"treatment_conditions":"inpatient","treatment_duration_hours":3},"illness_kind_details":{"requests_processed":110449}},"responsibleDoctor":{"id":6785,"alias":"esra-cabuk-comert","name":"Esra Cabuk Comert","photo":"doctor/6564e3b672960","advisory_text":"Dr. Esra Cabuk Comert is an Obstetrician and Gynecologist. She specializes in IVF, vaginal aesthetics, and laparoscopic surgeries, with over 20,000 cases handled. Dr. Comert is certified in Genital Aesthetic Surgery by the European Association of Aesthetic Medicine and Surgery. She also holds certifications in Gynecological Laparoscopy and Hysteroscopy, both approved by the Ministry of Health of Turkey.","linkedin":"https://www.linkedin.com/in/dr-esra-%C3%A7abuk-c%C3%B6mert-a12a08205/?originalSubdomain=tr","specialities":[{"id":"frt.002","name":"Fertility specialist","illness_kind_id":68},{"id":"oag.001","name":"Obstetrician-gynecologist","illness_kind_id":35},{"id":"oag.002","name":"Gynecologist","illness_kind_id":35}]},"direction":{"id":38,"name":"Plastic Surgery","alias":"plastic-surgery"},"illness_kind":{"id":38,"name":{"en":"Plastic Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":7,"max":14,"unit":"days","qualifier":"Desk work usually 1–2 weeks. Physically demanding work needs longer, typically 4–6 weeks."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any complication within 3 months (bleeding, infection, dehiscence, dyspareunia); serious ones under 2%"},"contraindications":["Pregnancy or plans for childbirth in the near future (relative)","Active genital or pelvic infection","Uncontrolled diabetes or other conditions impairing wound healing","Active smoking (relative; impairs healing)","Bleeding disorders or anticoagulation that cannot be safely managed","Body dysmorphic disorder","Undiagnosed vaginal bleeding or untreated cervical/vaginal pathology","Unfit for anesthesia"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge or one night of observation after uncomplicated vaginoplasty (vaginal tightening/repair)."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":6,"unit":"weeks","qualifier":"Light walking earlier; strenuous exercise and heavy lifting after surgeon clearance."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Swelling resolves and tissue and scar maturation are largely complete by about 3–6 months."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"Usually after the first postoperative check at 1–2 weeks, once bleeding settles and the surgeon clears travel."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"First postoperative check, counted from surgery."}},{"purpose":"assessment","requirement":"conditional","after":{"min":42,"max":60,"unit":"days","qualifier":"Healing assessment and clearance for intercourse, usually done locally after return home."}}],"indications":["Vaginal laxity after childbirth or aging","Symptomatic widened vaginal introitus or canal","Reduced sexual satisfaction related to laxity","Symptomatic anterior or posterior vaginal wall relaxation"],"main_risks":["Bleeding or hematoma","Infection","Pain during intercourse (dyspareunia)","Excessively narrow vaginal opening or scarring","Wound dehiscence","Asymmetry or unsatisfactory result","Injury to bladder or rectum (rare)","Anesthesia-related risks","Fistula formation (rectovaginal or vesicovaginal) (rare)","Urinary problems (retention, infection or stress incontinence)"],"pain":"Moderate discomfort for the first several days, controlled with oral analgesics; pain generally settles within 1–2 weeks.","preparation":["Gynecological examination and cervical screening up to date","Preoperative blood tests and anesthesia assessment","Exclude active infection","Fasting before general anesthesia","Stop smoking before surgery","Plan surgery outside menstruation","Arrange transport and help at home after surgery","Review medications and supplements with the surgeon"],"recovery_timeline":[{"phase":"Days 0–6","description":"Rest, swelling and discharge, pain managed with oral analgesics.","restrictions":["No tampons or intercourse","Avoid heavy activity"]},{"phase":"Weeks 1–2","description":"Swelling and discomfort decrease; return to light desk work; sutures usually dissolve.","restrictions":["No lifting heavy objects","No baths or swimming","No tampons or intercourse"]},{"phase":"Weeks 3–6","description":"Gradual return to normal daily activity; exercise resumes progressively.","restrictions":["No strenuous exercise until cleared","No tampons or intercourse until surgeon clearance"]},{"phase":"Weeks 6–12","description":"Healing completes and final result becomes apparent.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Light daily activities resume in 1–2 weeks. Strenuous activity, intercourse and tampons wait about 4–6 weeks."},"result_longevity":"Long-lasting but not permanent; tissue laxity may recur with childbirth, aging or weight change.","revision_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Repeat surgery for recurrent laxity, narrowing, scarring or dyspareunia within several years"},"scars":"Incisions are inside the vagina and closed with absorbable sutures, so no external scar is usually visible. A small perineal scar may remain if perineoplasty is added.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single surgical procedure."},"stages":[{"code":"surgery","label":"Vaginoplasty (vaginal tightening/repair) surgery","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the initial procedure."}}],"qualifier":"One operation; routine postoperative checks are follow-up, not treatment sessions."},"success":{"metric":"Patient-reported improvement in vaginal laxity and sexual satisfaction","value":80,"unit":"percent of patients","horizon":"6–12 months","population":"Adult women with postpartum or age-related vaginal laxity","evidence_status":"limited"},"techniques":[{"name":"Posterior colporrhaphy with levator plication (vaginal tightening)","suits_whom":"Women with posterior wall laxity or widened vaginal canal after childbirth.","recovery":"Roughly 1–2 weeks to resume light activity, 6 weeks without intercourse."},{"name":"Perineoplasty / introital narrowing","suits_whom":"Women with widened vaginal opening or perineal scarring from childbirth.","recovery":"Similar to colporrhaphy; perineal tenderness for 2–3 weeks."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1,"max":3,"unit":"hours","qualifier":"One session under general anesthesia for colporrhaphy ± perineoplasty. Longer if combined with labiaplasty or other pelvic floor surgery."},"initial_assessment_documents":["Gynecological exam report","Recent Pap smear result","Obstetric history summary","List of blood thinners","Pelvic floor or prolapse assessment (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-14 days until first postoperative check. Later healing review can be done locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team who 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":"2026-11-11","http_status":200}},{"id":"C2","text":"Check that you can ask the team questions about your 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":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that the facilities and standards at the clinic or hospital are satisfactory","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":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Confirm how your aftercare will be coordinated","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":"2026-11-11","http_status":200}},{"id":"C5","text":"Have two consultations with the surgeon who will treat you before any surgery","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C6","text":"Check that the surgeon you consult with is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Pressure to decide quickly, or cheap time-limited offers, from the clinic or its sales contact","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don't be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"A website selling cosmetic surgery as part of a holiday","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"Be cautious of websites selling cosmetic surgery as part of a holiday.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"Meetings only with sales staff, with no consultation with the surgeon","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"make sure you have a consultation with the surgeon (avoid meetings only with sales people).","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F4","text":"Being asked to pay before you have met the surgeon","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"do not pay to see a surgeon you have not met.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Blood-soaked dressings","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/21572-vaginoplasty","host":"my.clevelandclinic.org","quote":"Blood-soaked dressings, which can be a sign of excessive bleeding.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Abnormal swelling in your groin or lower leg","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/21572-vaginoplasty","host":"my.clevelandclinic.org","quote":"Signs of blood clots, such as abnormal 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