Centro PAD specializes in minimally invasive hemorrhoidectomy, with robotic and laparoscopic techniques. Dr. Carlos Garcia Vasquez, a Da Vinci-certified surgeon with 10+ years of experience, leads the team. He holds a PhD in surgery and authored patents for abdominal wall procedures. The clinic treats around 160 patients annually. Hemorrhoidectomy typically costs $4,000–$7,000.
Centro PAD is a private digestive surgery and gastroenterology center in Madrid, Spain, founded and directed by Dr. Carlos Garcia Vasquez. Surgeries are performed at HLA Moncloa University Hospital, recognized among the World's Best Smart Hospitals 2023 by Newsweek and certified to ISO 45001. The surgical team has 18 years of experience and more than 7,000 procedures, using Da Vinci robotic (X, Xi, 5) and laparoscopic techniques for colorectal cancer, proctology, hernias and obesity.
The center treats 600 patients a year, including international patients from Europe, the Americas and Australia, with online consultations available in Spanish or English before traveling.
","images":[{"base_url":"clinic/69a21effd0f39","title":"Surgeon at Centro PAD with robotic surgery system in operating room"},{"base_url":"clinic/69a21f494fc5d","title":"Surgeon with Da Vinci robotic surgery system at Centro PAD clinic"},{"base_url":"clinic/69a21f12c28c8","title":"Modern facade of HLA Hospital Universitario Moncloa in Madrid, Spain"},{"base_url":"clinic/69a21e2e5d64d","title":"Centro PAD clinic logo with stylized intestine graphic"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Spain","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Madrid","id":346,"alias":"madrid"},"address":"Av. de Valladolid, 81B, Moncloa - Aravaca, 28008 Madrid, Spain"},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":2,"year_foundation":2024},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/67a21921f0080.jpeg","name":"ISO 45001 (Occupational Health and Safety Management)"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6360fa074cde8.jpeg","name":"World's Best Smart Hospitals 2023 by Newsweek","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Dr. Xavier Centeno Forniés brings 32 years of coloproctology experience with Mayo Clinic-trained expertise in colorectal surgery. Hemorrhoidectomy may cost around $7,060, typically covering surgery and 1-3 days hospitalization using ERAS Society-certified protocols for faster recovery. He performs laser and minimally invasive laparoscopic techniques at Quirónsalud Madrid – Europe's largest facility in its network. The approach follows Enhanced Recovery After Surgery principles to minimize hospital stays. Dr. Centeno holds ERAS accreditation from Sweden and specializes in proctological laser procedures.
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\n\nSpecialization ― oncology, neurosurgery, heart surgery, plastic surgery, and IVF.
\n\nQuiron Madrid research team carries out studies in the treatment of cancer and neurodegenerative disorders (Alzheimer's, Parkinson's, Huntington's diseases). There is an opportunity to be treated for free as a participant in clinical trials in case of meeting requirements.
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Hospital Ruber Internacional is a JCI-accredited private hospital in Madrid, Spain. Ranked among Spain's top 6 hospitals by Forbes. Specializes in neurosurgery, orthopedics, and cardiology.
Hospital Ruber Internacional offers laser technology using a tiny 1 mm incision to coagulate tissue from within. This approach results in minimal pain and eliminates the need for open wounds. Most patients return to their daily activities within 48 hours. The clinic also provides an option to combine the procedure with platelet-rich plasma to speed up healing. Located in Madrid, this center allows for same-day discharge so recovery can start comfortably at home.
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Dr. Jiménez de los Galanes was named Doctor of the Year for Innovation. The award recognizes his work in robotic digestive surgery. His team of six specialists belongs to the Society of Robotic Surgery and the International Hepato-Pancreato-Biliary Association. The clinic uses the Da Vinci 5 robotic system for precision.
Proctology care includes laser hemorrhoid therapy with 1-mm incisions. Thyroid surgeries use PTeye technology to protect the parathyroid glands. The team applies 3D reconstruction to plan robotic pancreatic operations. International patients get WhatsApp scheduling and travel support. Second opinions arrive in under 72 hours.
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Dr. Carlos Garcia Vasquez is a general surgeon at Centro PAD in Madrid. He holds a patent for a prosthetic implantation system for abdominal wall surgery. Dr. Garcia Vasquez serves as Associate Head of Surgery at Infanta Elena University Hospital. He earned his PhD in Surgery with summa cum laude honors.
Centro PAD is a private digestive surgery and gastroenterology center in Madrid, Spain, founded and directed by Dr. Carlos Garcia Vasquez. Surgeries are performed at HLA Moncloa University Hospital, recognized among the World's Best Smart Hospitals 2023 by Newsweek and certified to ISO 45001. The surgical team has 18 years of experience and more than 7,000 procedures, using Da Vinci robotic (X, Xi, 5) and laparoscopic techniques for colorectal cancer, proctology, hernias and obesity.
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Dr. Cesar Levano Linares is a colorectal specialist at Fundación Jiménez Díaz in Madrid. He holds European Accreditation in Laparoscopic Surgery from EACCME. Dr. Levano Linares earned his PhD in Medicine from the Autonomous University of Madrid. He works at Centro PAD, recognized by Newsweek as a World's Best Smart Hospital.
Centro PAD is a private digestive surgery and gastroenterology center in Madrid, Spain, founded and directed by Dr. Carlos Garcia Vasquez. Surgeries are performed at HLA Moncloa University Hospital, recognized among the World's Best Smart Hospitals 2023 by Newsweek and certified to ISO 45001. The surgical team has 18 years of experience and more than 7,000 procedures, using Da Vinci robotic (X, Xi, 5) and laparoscopic techniques for colorectal cancer, proctology, hernias and obesity.
The center treats 600 patients a year, including international patients from Europe, the Americas and Australia, with online consultations available in Spanish or English before traveling.
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Dr. Cesar Canales Bedoya ranks among the top 5 general and digestive surgeons in Spain. He leads the General and Digestive Surgery Department at Hospital Ruber Internacional. Dr. Canales specializes in laparoscopic and Da Vinci robotic surgery for complex abdominal and oncologic cases.
Hospital Ruber Internacional is a JCI-accredited private hospital in Madrid, Spain. Ranked among Spain's top 6 hospitals by Forbes. Specializes in neurosurgery, orthopedics, and cardiology.
Dr. Santos Jiménez de los Galanes runs a private surgical practice in Madrid, Spain. The clinic focuses on general surgery, digestive pathology, and proctology. Key services include robotic abdominal surgery and advanced cancer procedures. The practice is based at Hospital Ruber Internacional. The team performs complex colorectal and hepatobiliopancreatic surgeries using minimally invasive methods.
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Prof. Dr. Abdulcabbar Kartal is a colorectal and general surgeon specializing in HIPEC and bariatric surgery. He is certified by the European Society of Coloproctology (FEBS-C) and has performed over 500 bariatric surgeries.","linkedin":"","specialities":[{"id":"sur.006","name":"Colorectal surgeon","illness_kind_id":33},{"id":"sur.010","name":"General surgeon","illness_kind_id":33}]},"direction":{"id":33,"name":"Surgery","alias":"surgery"},"illness_kind":{"id":33,"name":{"en":"Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":7,"max":21,"unit":"days","qualifier":"Desk-based work after conventional excisional hemorrhoidectomy; manual work may need longer."},"complication_rate_pct":{"min":1,"max":5,"unit":"percent","qualifier":"Major events: secondary hemorrhage needing readmission, transfusion or reoperation, abscess or sepsis, symptomatic stenosis. Excludes minor events. Grade III–IV hemorrhoids."},"contraindications":["Uncontrolled bleeding disorder or unmanageable therapeutic anticoagulation","Active anorectal sepsis or severe perianal infection (relative)","Severe uncontrolled cardiopulmonary disease making anesthesia unsafe","Active severe inflammatory bowel disease with anorectal involvement (relative)","Anorectal malignancy requiring different management","Pregnancy (relative; usually managed conservatively)","Poor baseline continence (relative precaution)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Typically day surgery or one night of observation for conventional excisional hemorrhoidectomy."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Walking earlier; strenuous exercise and heavy lifting after 2–4 weeks."},"final_result_months":{"min":1,"max":2,"unit":"months","qualifier":"Complete wound healing and resolution of swelling after conventional hemorrhoidectomy."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"Delayed bleeding peaks around days 5–14. 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Median about 6 days in outpatient series; conventional surgery 1–2 weeks. Energy devices may shorten."},"result_longevity":"Excised hemorrhoids do not regrow, and long-term results are usually durable, though new hemorrhoidal disease can develop, particularly with constipation or straining.","revision_rate_pct":{"min":1,"max":5,"unit":"percent","qualifier":"Repeat surgery for recurrent prolapse, symptoms or stenosis, over about 1–5 years. 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Later reviews can be remote or local."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask the surgeon to explain the risks and benefits and to obtain your informed consent before surgery","scope":"procedure","source":{"url":"https://my.clevelandclinic.org/health/procedures/hemorrhoidectomy","host":"my.clevelandclinic.org","quote":"Your surgeon will discuss the risks and benefits of the procedure and obtain your informed consent.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check that a follow-up appointment is booked a few weeks after the operation","scope":"procedure","source":{"url":"https://my.clevelandclinic.org/health/procedures/hemorrhoidectomy","host":"my.clevelandclinic.org","quote":"Schedule a follow-up appointment with your provider a few weeks after your hemorrhoidectomy.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check the qualifications of the clinician who will perform the operation","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Ask whether follow-up care is scheduled at the same facility as the operation","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"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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operation","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":"2026-11-12","http_status":200}},{"id":"F3","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Severe pain or bleeding","urgency":"contact_clinic","general":false,"source":{"url":"https://www.mayoclinic.org/diseases-conditions/hemorrhoids/diagnosis-treatment/drc-20360280","host":"mayoclinic.org","quote":"Contact a health professional sooner if you have severe pain or bleeding.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"W2","text":"Difficulty urinating","urgency":"contact_clinic","general":false,"source":{"url":"https://www.mayoclinic.org/diseases-conditions/hemorrhoids/diagnosis-treatment/drc-20360280","host":"mayoclinic.org","quote":"Complications can include having a hard time urinating, which can lead to urinary tract infections.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"W3","text":"Large amounts of rectal bleeding","urgency":"emergency","general":false,"source":{"url":"https://www.mayoclinic.org/diseases-conditions/hemorrhoids/symptoms-causes/syc-20360268","host":"mayoclinic.org","quote":"Seek emergency care if you have large amounts of rectal bleeding, lightheadedness, dizziness or faintness.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"W4","text":"Lightheadedness, dizziness or faintness","urgency":"emergency","general":false,"source":{"url":"https://www.mayoclinic.org/diseases-conditions/hemorrhoids/symptoms-causes/syc-20360268","host":"mayoclinic.org","quote":"Seek emergency care if you have large amounts of rectal bleeding, lightheadedness, dizziness or faintness.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"They specify activities to avoid while the wound heals","document":"activity restrictions","source":{"url":"https://www.royalfree.nhs.uk/patients-and-visitors/patient-information-leaflets/having-a-haemorrhoidectomy","host":"royalfree.nhs.uk","quote":"Avoid heavy lifting or strenuous exercise such as fast running, cycling or horse riding which could be uncomfortable or cause the wound to bleed for 1 week after surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"T2","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up 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