{"key":"op_112_ES","page":{"url":"https://us-uk.bookimed.com/clinics/country=spain/procedure=gamma-knife/","procedure":{"id":112,"slug":"gamma-knife","name":"Gamma Knife","name_forms":{"plural":{"status":"missing","reason":"not_collected"},"genitive":{"status":"missing","reason":"not_collected"}},"type":"non_surgical","grammar_number":{"status":"missing","reason":"not_collected"},"parent_id":"neurosurgery","family_attribute":{"status":"missing","reason":"not_collected"}},"country":{"id":34,"iso":"ES","name":"Spain"},"currency":"USD","data_date":"2026-10-21"},"pages":{"clinics_url":"https://us-uk.bookimed.com/clinics/country=spain/procedure=gamma-knife/","cost_url":"https://us-uk.bookimed.com/clinics/country=spain/procedure=gamma-knife/cost/","best_url":{"status":"missing","reason":"template not live"}},"price":{"from":13500,"to":20200,"avg":{"value":38831,"method":"median","source":"offers"},"us":{"from":22000,"to":38000},"uk":{"from":15500,"to":21500},"by_technique":{"status":"missing","reason":"not_collected"},"by_city":[{"city":"Barcelona","from":13500},{"city":"Alicante","from":7500},{"city":"Madrid","from":5200}],"per_unit":{"status":"missing","reason":"not_collected"},"factors":{"status":"missing","reason":"not_collected"},"tiers":{"source":"offers","items":[{"tier":"basic","min":38831,"max":38831,"median":38831,"count":1}]},"comparison":[{"country_iso":"UA","from":3800,"to":5800},{"country_iso":"FR","from":7500,"to":11500},{"country_iso":"GB","from":15500,"to":21500},{"country_iso":"US","from":22000,"to":38000},{"country_iso":"IL","from":14000,"to":20000},{"country_iso":"TR","from":4300,"to":6800},{"country_iso":"MX","from":9500,"to":14500},{"country_iso":"DE","from":4400,"to":10000},{"country_iso":"CA","from":18000,"to":30000},{"country_iso":"AE","from":14000,"to":24000},{"country_iso":"TH","from":9500,"to":14000},{"country_iso":"PL","from":6500,"to":9500},{"country_iso":"KR","from":10000,"to":13500},{"country_iso":"CZ","from":7500,"to":10500},{"country_iso":"AT","from":7500,"to":12000},{"country_iso":"IT","from":6500,"to":10500},{"country_iso":"CN","from":4000,"to":12000},{"country_iso":"AU","from":15500,"to":23000},{"country_iso":"IN","from":4500,"to":6500},{"country_iso":"MY","from":9500,"to":14500},{"country_iso":"VN","from":8000,"to":11500},{"country_iso":"BR","from":9500,"to":14500}],"base_country":"US","base_is_fallback":false},"savings":{"pct":39,"variant":">=15%"},"package":{"included":["Angiography","Blood tests","Consultation with a doctor","Consultation with a neurologist","Consultation with an oncologist","CT Scan","Head MRI","MRI of one area","PET/CT"],"excluded":["Accommodation is not included","Food not included","Transfer is not included"],"extra_charges":{"status":"missing","reason":"not_collected"}},"clinics":{"count":4,"items":[{"id":6225,"name":"Hospital Ruber Internacional","city":"Madrid","rating":5,"reviews_count":3,"accreditations":["Joint Commission International","International Organization for Standardization"],"rank":1,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":[{"id":"67b3308ee81a1dde43029042","price":38831,"nights":0,"included":["CT Scan","Consultation with a doctor","Blood tests","Angiography","MRI of one area","PET/CT","Consultation with an oncologist","Consultation with a neurologist","Head MRI"],"excluded":["Food not included","Accommodation is not included","Transfer is not included"],"other_services":"At Hospital Ruber Internacional in Madrid, we offer Gamma Knife ICON radiosurgery, an advanced non-invasive treatment for a range of neurological conditions, including benign and malignant brain tumors, arteriovenous malformations (AVMs), and selected functional disorders such as essential tremor and trigeminal neuralgia. The treatment is performed under the supervision of Dr. Roberto Martínez Álvarez, one of Spain’s leading specialists in Gamma Knife radiosurgery. He has performed more than 7,000 Gamma Knife procedures and is considered one of the pioneers of radiosurgery in Europe. Why choose Gamma Knife ICON? • Non-invasive treatment — no surgical incision is required. • High precision — radiation is focused accurately on the target while protecting surrounding healthy brain tissue as much as possible. • Fast recovery — many patients can leave the hospital on the same day and return to normal daily activities shortly afterward. • Alternative to open surgery — Gamma Knife may be suitable for selected tumors, vascular malformations and neurological conditions where conventional surgery is not the preferred option. • Minimal rehabilitation — most patients do not require the recovery period associated with open brain surgery. • Treatment in a single session in many cases, depending on the diagnosis, size and location of the lesion. Gamma Knife treatment pathway Preliminary consultation and diagnostics Usually 1–2 days. The medical team reviews previous MRI, CT scans and specialist reports. Additional MRI or CT imaging may be performed if required to determine whether Gamma Knife is appropriate. Treatment planning Approximately 30–90 minutes. Neurosurgeons, neuroradiologists and medical physicists create an individual treatment plan based on the exact size, shape and location of the lesion. Gamma Knife procedure Usually completed in one treatment session. The duration may range from several minutes to more than one hour depending on the complexity of the case and the number of targets. Post-treatment monitoring After treatment, the patient is observed by the medical team. In many cases, discharge is possible on the same day. Follow-up MRI and specialist consultations are scheduled according to the diagnosis. Ruber Internacional Gamma Knife team Treatment is provided by a multidisciplinary team that may include: • Dr. Roberto Martínez Álvarez — neurosurgeon and Gamma Knife specialist. • Neuroradiologists — responsible for detailed brain imaging and accurate target definition. • Medical physicists — responsible for treatment planning and radiation-dose precision. • Neurology and oncology specialists — involved when additional neurological or oncological management is required. What is included in the Gamma Knife package? • Initial specialist consultation and medical assessment. • Review of previous medical records and imaging. • MRI and/or CT required for radiosurgical planning. • Individual Gamma Knife treatment planning. • Gamma Knife ICON radiosurgery procedure. • Neurosurgical and medical-physics team. • Post-treatment monitoring. • Follow-up recommendations. Gamma Knife technology The Gamma Knife ICON system is designed specifically for intracranial radiosurgery and allows highly focused radiation to be delivered to the target with very high accuracy while minimizing exposure of surrounding healthy tissue. Who may be considered for treatment? Gamma Knife may be considered for selected patients with: • Benign brain tumors. • Malignant or metastatic brain tumors. • Meningiomas. • Vestibular schwannomas. • Arteriovenous malformations. • Trigeminal neuralgia. • Essential tremor. • Other selected intracranial neurological conditions. Final eligibility depends on the diagnosis, lesion size, location, previous treatments and overall medical condition. The medical team reviews the MRI and clinical history before confirming whether Gamma Knife is the most appropriate treatment."}]},{"id":78,"name":"Centro Médico Teknon","city":"Barcelona","rating":4.7,"reviews_count":497,"accreditations":["Joint Commission International","European Foundation for Quality Management","THE IMTJ MEDICAL TRAVEL AWARD WINNER IN 2019","Patient choice in Neurology","Patient choice in Neurosurgery","Patient choice for Epilepsy treatment","World's Best Hospitals 2021 by Newsweek"],"rank":2,"has_procedure":true,"why_ranked":"Offers Gamma Knife radiosurgery for both brain and spinal tumors. Multidisciplinary team approach with 900+ procedures performed. JCI-accredited facility.","bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":278,"name":"Quironsalud Madrid","city":"Madrid","rating":3.8,"reviews_count":6,"accreditations":["World's Best Hospitals 2021 by Newsweek"],"rank":3,"has_procedure":true,"why_ranked":"Offers non-invasive Gamma Knife as an alternative to deep brain stimulation. Features latest Gamma Knife system and multidisciplinary support including neurology and psychiatry.","bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":310,"name":"HOSPITAL UNIVERSITARIO HM MADRID","city":"Madrid","rating":4.7,"reviews_count":17,"accreditations":["European Foundation for Quality Management","TÜV AG Сompany Research & Investing Certificate","World's Best Hospitals 2021 by Newsweek"],"rank":4,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}}]},"doctors":{"count":4,"languages":{"status":"missing","reason":"not_collected"}},"cities":[{"id":98,"slug":"barcelona","name":"Barcelona","clinics_count":1,"price_from":13500,"profile":{"city_type":"Mediterranean coastal city in Spain","access":["Barcelona Airport (BCN), 15 km southwest of city center"],"sources":["https://en.wikipedia.org/wiki/Barcelona","https://en.wikipedia.org/wiki/Barcelona–El_Prat_Airport"],"checked_at":"2026-11-03","status":"ok"}},{"id":441,"slug":"alicante","name":"Alicante","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":7500,"profile":{"city_type":"Mediterranean port city in Spain","access":["Alicante Airport (ALC), 9 km from the city"],"sources":["https://en.wikipedia.org/wiki/Alicante","https://en.wikipedia.org/wiki/Alicante%E2%80%93Elche_Airport"],"checked_at":"2026-11-03","status":"ok"}},{"id":346,"slug":"madrid","name":"Madrid","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":5200,"profile":{"city_type":"Capital and largest city of Spain","access":["Madrid Barajas Airport (MAD), 13 km from Puerta del Sol"],"sources":["https://en.wikipedia.org/wiki/Madrid","https://en.wikipedia.org/wiki/Madrid–Barajas_Airport"],"checked_at":"2026-11-03","status":"ok"}}],"offers":{"active":1,"active_with_related":1,"hospital_nights_median":0,"days_in_country_median":{"status":"missing","reason":"fewer than 10 offers with hotel days"},"top_offers":[{"id":"67b3308ee81a1dde43029042","clinic_id":6225,"clinic_listed":true,"price":38831,"nights":0,"transfer":{"status":"missing","reason":"not_collected"},"tests":{"status":"missing","reason":"not_collected"},"meds":{"status":"missing","reason":"not_collected"},"aftercare":{"status":"missing","reason":"not_collected"},"guarantee":{"status":"missing","reason":"not_collected"},"included":["CT Scan","Consultation with a doctor","Blood tests","Angiography","MRI of one area","PET/CT","Consultation with an oncologist","Consultation with a neurologist","Head MRI"],"excluded":["Food not included","Accommodation is not included","Transfer is not included"],"other_services":"At Hospital Ruber Internacional in Madrid, we offer Gamma Knife ICON radiosurgery, an advanced non-invasive treatment for a range of neurological conditions, including benign and malignant brain tumors, arteriovenous malformations (AVMs), and selected functional disorders such as essential tremor and trigeminal neuralgia. 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Why choose Gamma Knife ICON? • Non-invasive treatment — no surgical incision is required. • High precision — radiation is focused accurately on the target while protecting surrounding healthy brain tissue as much as possible. • Fast recovery — many patients can leave the hospital on the same day and return to normal daily activities shortly afterward. • Alternative to open surgery — Gamma Knife may be suitable for selected tumors, vascular malformations and neurological conditions where conventional surgery is not the preferred option. • Minimal rehabilitation — most patients do not require the recovery period associated with open brain surgery. • Treatment in a single session in many cases, depending on the diagnosis, size and location of the lesion. Gamma Knife treatment pathway Preliminary consultation and diagnostics Usually 1–2 days. The medical team reviews previous MRI, CT scans and specialist reports. Additional MRI or CT imaging may be performed if required to determine whether Gamma Knife is appropriate. Treatment planning Approximately 30–90 minutes. Neurosurgeons, neuroradiologists and medical physicists create an individual treatment plan based on the exact size, shape and location of the lesion. Gamma Knife procedure Usually completed in one treatment session. The duration may range from several minutes to more than one hour depending on the complexity of the case and the number of targets. Post-treatment monitoring After treatment, the patient is observed by the medical team. In many cases, discharge is possible on the same day. Follow-up MRI and specialist consultations are scheduled according to the diagnosis. Ruber Internacional Gamma Knife team Treatment is provided by a multidisciplinary team that may include: • Dr. Roberto Martínez Álvarez — neurosurgeon and Gamma Knife specialist. • Neuroradiologists — responsible for detailed brain imaging and accurate target definition. • Medical physicists — responsible for treatment planning and radiation-dose precision. • Neurology and oncology specialists — involved when additional neurological or oncological management is required. What is included in the Gamma Knife package? • Initial specialist consultation and medical assessment. • Review of previous medical records and imaging. • MRI and/or CT required for radiosurgical planning. • Individual Gamma Knife treatment planning. • Gamma Knife ICON radiosurgery procedure. • Neurosurgical and medical-physics team. • Post-treatment monitoring. • Follow-up recommendations. Gamma Knife technology The Gamma Knife ICON system is designed specifically for intracranial radiosurgery and allows highly focused radiation to be delivered to the target with very high accuracy while minimizing exposure of surrounding healthy tissue. Who may be considered for treatment? Gamma Knife may be considered for selected patients with: • Benign brain tumors. • Malignant or metastatic brain tumors. • Meningiomas. • Vestibular schwannomas. • Arteriovenous malformations. • Trigeminal neuralgia. • Essential tremor. • Other selected intracranial neurological conditions. Final eligibility depends on the diagnosis, lesion size, location, previous treatments and overall medical condition. The medical team reviews the MRI and clinical history before confirming whether Gamma Knife is the most appropriate treatment.","is_package":true}],"packages":[{"id":"67b3308ee81a1dde43029042","clinic_id":6225,"clinic_listed":true,"price":38831,"nights":0,"transfer":{"status":"missing","reason":"not_collected"},"tests":{"status":"missing","reason":"not_collected"},"meds":{"status":"missing","reason":"not_collected"},"aftercare":{"status":"missing","reason":"not_collected"},"guarantee":{"status":"missing","reason":"not_collected"},"included":["CT Scan","Consultation with a doctor","Blood tests","Angiography","MRI of one area","PET/CT","Consultation with an oncologist","Consultation with a neurologist","Head MRI"],"excluded":["Food not included","Accommodation is not included","Transfer is not included"],"other_services":"At Hospital Ruber Internacional in Madrid, we offer Gamma Knife ICON radiosurgery, an advanced non-invasive treatment for a range of neurological conditions, including benign and malignant brain tumors, arteriovenous malformations (AVMs), and selected functional disorders such as essential tremor and trigeminal neuralgia. The treatment is performed under the supervision of Dr. Roberto Martínez Álvarez, one of Spain’s leading specialists in Gamma Knife radiosurgery. He has performed more than 7,000 Gamma Knife procedures and is considered one of the pioneers of radiosurgery in Europe. Why choose Gamma Knife ICON? • Non-invasive treatment — no surgical incision is required. • High precision — radiation is focused accurately on the target while protecting surrounding healthy brain tissue as much as possible. • Fast recovery — many patients can leave the hospital on the same day and return to normal daily activities shortly afterward. • Alternative to open surgery — Gamma Knife may be suitable for selected tumors, vascular malformations and neurological conditions where conventional surgery is not the preferred option. • Minimal rehabilitation — most patients do not require the recovery period associated with open brain surgery. • Treatment in a single session in many cases, depending on the diagnosis, size and location of the lesion. Gamma Knife treatment pathway Preliminary consultation and diagnostics Usually 1–2 days. The medical team reviews previous MRI, CT scans and specialist reports. Additional MRI or CT imaging may be performed if required to determine whether Gamma Knife is appropriate. Treatment planning Approximately 30–90 minutes. Neurosurgeons, neuroradiologists and medical physicists create an individual treatment plan based on the exact size, shape and location of the lesion. Gamma Knife procedure Usually completed in one treatment session. The duration may range from several minutes to more than one hour depending on the complexity of the case and the number of targets. Post-treatment monitoring After treatment, the patient is observed by the medical team. In many cases, discharge is possible on the same day. Follow-up MRI and specialist consultations are scheduled according to the diagnosis. Ruber Internacional Gamma Knife team Treatment is provided by a multidisciplinary team that may include: • Dr. Roberto Martínez Álvarez — neurosurgeon and Gamma Knife specialist. • Neuroradiologists — responsible for detailed brain imaging and accurate target definition. • Medical physicists — responsible for treatment planning and radiation-dose precision. • Neurology and oncology specialists — involved when additional neurological or oncological management is required. What is included in the Gamma Knife package? • Initial specialist consultation and medical assessment. • Review of previous medical records and imaging. • MRI and/or CT required for radiosurgical planning. • Individual Gamma Knife treatment planning. • Gamma Knife ICON radiosurgery procedure. • Neurosurgical and medical-physics team. • Post-treatment monitoring. • Follow-up recommendations. Gamma Knife technology The Gamma Knife ICON system is designed specifically for intracranial radiosurgery and allows highly focused radiation to be delivered to the target with very high accuracy while minimizing exposure of surrounding healthy tissue. Who may be considered for treatment? Gamma Knife may be considered for selected patients with: • Benign brain tumors. • Malignant or metastatic brain tumors. • Meningiomas. • Vestibular schwannomas. • Arteriovenous malformations. • Trigeminal neuralgia. • Essential tremor. • Other selected intracranial neurological conditions. Final eligibility depends on the diagnosis, lesion size, location, previous treatments and overall medical condition. The medical team reviews the MRI and clinical history before confirming whether Gamma Knife is the most appropriate treatment.","is_package":true}],"related_packages":{"status":"missing","reason":"not_collected"},"other_packages":{"status":"missing","reason":"not_classified"}},"medical":{"indications":["Brain metastases","Meningioma","Vestibular schwannoma (acoustic neuroma)","Pituitary adenoma","Arteriovenous malformation","Trigeminal neuralgia","Selected small residual or recurrent benign tumors","Selected primary brain tumors, e.g. glioma","Glomus tumor (paraganglioma)","Selected essential tremor (thalamotomy)"],"contraindications":["Pregnancy","Severe uncontrolled medical illness","MRI contraindication when required (relative)","Critical structures prevent safe dose (relative)"],"operation_hours":{"min":2,"max":6,"unit":"hours","qualifier":"Whole treatment day: frame fitting, imaging, planning and delivery; beam time is about 0.5-2 hours."},"anesthesia":["local"],"sessions_or_stages":{"sessions":{"min":1,"max":5,"unit":"visits","qualifier":"Typical single-session radiosurgery; some larger lesions are treated in 2-5 fractions."},"stages":[{"code":"radiosurgery_session","label":"Frame or mask fitting, imaging, planning and radiation delivery","after":{"min":0,"max":0,"unit":"days","qualifier":"Same day"}}],"qualifier":"Follow-up imaging visits are not counted as treatment sessions."},"hospital_nights":{"status":"not_applicable"},"treatment_conditions":["outpatient"],"rehabilitation_days":{"min":1,"max":3,"unit":"days","qualifier":"Ordinary functional recovery after a single uncomplicated session; no formal rehabilitation is usually needed."},"fly_home_after_days":{"min":1,"max":3,"unit":"days","qualifier":"Same-day, non-incisional treatment; fly once pin-site soreness, headache and nausea settle. Large lesions or seizures may need longer."},"back_to_work_days":{"min":1,"max":3,"unit":"days","qualifier":"Single-session treatment of a small brain lesion; many return to desk work within days, depending on symptoms."},"exercise_resume_weeks":{"min":0.5,"max":2,"unit":"weeks","qualifier":"Light activity within days; strenuous exercise after about 1-2 weeks if no symptoms."},"final_result_months":{"min":12,"max":36,"unit":"months","qualifier":"Tumor shrinkage peaks over 1-3 years; trigeminal neuralgia relief may come within weeks to months."},"result_longevity":"Local control is often durable for years, but depends on lesion type and biology; ongoing imaging surveillance is needed.","main_risks":["Temporary headache, nausea or fatigue","Pin-site discomfort or minor bleeding when a frame is used","Radiation-related brain swelling (edema) that may need steroids","Radiation necrosis","Seizure","Delayed cranial nerve or neurological deficit (hearing, face, vision)","Pituitary hormone deficiency after sellar treatment","Incomplete lesion control or recurrence"],"complication_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Major or lasting events: permanent neurological deficits or symptomatic edema/necrosis. Higher for larger lesions; varies by type."},"revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Repeat radiosurgery, surgery or other salvage treatment for progression or recurrence; varies by lesion type and size."},"success":{"metric":"Local tumor control after radiosurgery","value":90,"horizon":"5 years","source":{"status":"missing","reason":"not_collected"},"evidence_status":"limited"},"scars":"None; no incisions. Frame pin sites leave tiny marks that fade in days to weeks.","pain":"Radiation itself is painless. Mild discomfort occurs from local anesthetic at frame pin sites and from the frame; headache afterward is usually mild and managed with simple analgesics.","preparation":["Recent MRI (and sometimes CT or angiography) for treatment planning","Neurological assessment; review implants and claustrophobia","Follow center's fasting instructions if sedated","Arrange an escort home","Wear comfortable clothing; avoid hair products and metal on head"],"recovery_timeline":[{"phase":"Treatment day","description":"Head frame or mask fitting, imaging, planning, then painless radiation delivery; frame removed and brief observation.","restrictions":["No driving home","Rest for the remainder of the day"]},{"phase":"First days","description":"Possible mild headache, fatigue or pin-site tenderness; most resume normal light activity.","restrictions":["Avoid strenuous exertion initially","Keep pin sites clean and dry as instructed"]},{"phase":"Weeks to months","description":"Delayed radiation effects may appear, such as swelling; report new neurological symptoms promptly. Lesion gradually responds.","restrictions":{"status":"missing","reason":"not_collected"}},{"phase":"Long term","description":"Periodic MRI surveillance to assess lesion response.","restrictions":{"status":"missing","reason":"not_collected"}}],"follow_up_visits":[{"purpose":"result_review","requirement":"routine","after":{"min":150,"max":210,"unit":"days","qualifier":"First follow-up MRI and review at about 6 months after treatment; schedule varies by indication."}},{"purpose":"result_review","requirement":"routine","after":{"min":330,"max":400,"unit":"days","qualifier":"Follow-up MRI at about 12 months, then periodically."}}],"sources":{"status":"missing","reason":"not_collected"},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm you will meet a healthcare provider before Gamma Knife surgery","scope":"procedure","source":{"url":"https://my.clevelandclinic.org/health/treatments/16559-gamma-knife-radiosurgery","host":"my.clevelandclinic.org","quote":"Before Gamma Knife surgery, you’ll meet with a healthcare provider.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check that a team, not one doctor alone, will treat you, because a team approach gives the greatest safety","scope":"procedure","source":{"url":"https://www.radiologyinfo.org/en/info/gamma_knife","host":"radiologyinfo.org","quote":"A team approach provides patients with the greatest safety.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check the qualifications of the medical team treating 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":"C4","text":"Check that you understand the possible complications and side effects of 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":"C5","text":"Check whether follow-up care is scheduled at the same facility as the procedure","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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"No meeting with a healthcare provider is offered before Gamma Knife surgery","scope":"procedure","source":{"url":"https://my.clevelandclinic.org/health/treatments/16559-gamma-knife-radiosurgery","host":"my.clevelandclinic.org","quote":"Before Gamma Knife surgery, you’ll meet with a healthcare provider.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"Clinic cannot clearly explain 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":"2026-11-12","http_status":200}},{"id":"F3","text":"You cannot put your treatment questions to the clinicians directly","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 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liquids","urgency":"emergency","general":false,"source":{"url":"https://www.neurosurgery.columbia.edu/patient-care/treatments/gamma-knife-radiosurgery","host":"neurosurgery.columbia.edu","quote":"Unable to tolerate liquids and persistent vomiting","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Fever lasting more than one day","urgency":"contact_clinic","general":true,"source":{"url":"https://www.neurosurgery.columbia.edu/patient-care/treatments/gamma-knife-radiosurgery","host":"neurosurgery.columbia.edu","quote":"Temperature greater than 100.4 degrees Fahrenheit over a 24 hour period unrelieved by medications.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Lets the home doctor review imaging for follow-up","document":"copies of scans and x-rays","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","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 recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription 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out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}},"parsed_details":{"procedure_type":"non_surgical","fields":{"anesthesia":["local"],"back_to_work_days":{"min":1,"max":3,"unit":"days","qualifier":"Single-session treatment of a small brain lesion; many return to desk work within days, depending on symptoms."},"complication_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Major or lasting events: permanent neurological deficits or symptomatic edema/necrosis. Higher for larger lesions; varies by type."},"contraindications":["Pregnancy","Severe uncontrolled medical illness","MRI contraindication when required (relative)","Critical structures prevent safe dose (relative)"],"days_in_clinic":{"min":1,"max":3,"unit":"nights","qualifier":"Usually 1-3 nights for imaging, planning and treatment day; treatment itself is same-day."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":0.5,"max":2,"unit":"weeks","qualifier":"Light activity within days; strenuous exercise after about 1-2 weeks if no symptoms."},"final_result_months":{"min":12,"max":36,"unit":"months","qualifier":"Tumor shrinkage peaks over 1-3 years; trigeminal neuralgia relief may come within weeks to months."},"fly_home_after_days":{"min":1,"max":3,"unit":"days","qualifier":"Same-day, non-incisional treatment; fly once pin-site soreness, headache and nausea settle. Large lesions or seizures may need longer."},"follow_up_visits":[{"purpose":"result_review","requirement":"routine","after":{"min":150,"max":210,"unit":"days","qualifier":"First follow-up MRI and review at about 6 months after treatment; schedule varies by indication."}},{"purpose":"result_review","requirement":"routine","after":{"min":330,"max":400,"unit":"days","qualifier":"Follow-up MRI at about 12 months, then periodically."}}],"indications":["Brain metastases","Meningioma","Vestibular schwannoma (acoustic neuroma)","Pituitary adenoma","Arteriovenous malformation","Trigeminal neuralgia","Selected small residual or recurrent benign tumors","Selected primary brain tumors, e.g. glioma","Glomus tumor (paraganglioma)","Selected essential tremor (thalamotomy)"],"main_risks":["Temporary headache, nausea or fatigue","Pin-site discomfort or minor bleeding when a frame is used","Radiation-related brain swelling (edema) that may need steroids","Radiation necrosis","Seizure","Delayed cranial nerve or neurological deficit (hearing, face, vision)","Pituitary hormone deficiency after sellar treatment","Incomplete lesion control or recurrence"],"pain":"Radiation itself is painless. Mild discomfort occurs from local anesthetic at frame pin sites and from the frame; headache afterward is usually mild and managed with simple analgesics.","preparation":["Recent MRI (and sometimes CT or angiography) for treatment planning","Neurological assessment; review implants and claustrophobia","Follow center's fasting instructions if sedated","Arrange an escort home","Wear comfortable clothing; avoid hair products and metal on head"],"recovery_timeline":[{"phase":"Treatment day","description":"Head frame or mask fitting, imaging, planning, then painless radiation delivery; frame removed and brief observation.","restrictions":["No driving home","Rest for the remainder of the day"]},{"phase":"First days","description":"Possible mild headache, fatigue or pin-site tenderness; most resume normal light activity.","restrictions":["Avoid strenuous exertion initially","Keep pin sites clean and dry as instructed"]},{"phase":"Weeks to months","description":"Delayed radiation effects may appear, such as swelling; report new neurological symptoms promptly. Lesion gradually responds.","restrictions":[]},{"phase":"Long term","description":"Periodic MRI surveillance to assess lesion response.","restrictions":[]}],"rehabilitation_days":{"min":1,"max":3,"unit":"days","qualifier":"Ordinary functional recovery after a single uncomplicated session; no formal rehabilitation is usually needed."},"result_longevity":"Local control is often durable for years, but depends on lesion type and biology; ongoing imaging surveillance is needed.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Repeat radiosurgery, surgery or other salvage treatment for progression or recurrence; varies by lesion type and size."},"scars":"None; no incisions. Frame pin sites leave tiny marks that fade in days to weeks.","sessions_or_stages":{"sessions":{"min":1,"max":5,"unit":"visits","qualifier":"Typical single-session radiosurgery; some larger lesions are treated in 2-5 fractions."},"stages":[{"code":"radiosurgery_session","label":"Frame or mask fitting, imaging, planning and radiation delivery","after":{"min":0,"max":0,"unit":"days","qualifier":"Same day"}}],"qualifier":"Follow-up imaging visits are not counted as treatment sessions."},"success":{"metric":"Local tumor control after radiosurgery","value":90,"unit":"percent","horizon":"5 years","population":"Adults with small to moderate benign tumors (e.g. vestibular schwannoma, meningioma, pituitary adenoma)","evidence_status":"limited"},"techniques":[{"name":"Frame-based single-session Gamma Knife","suits_whom":"Most small to moderate intracranial lesions and trigeminal neuralgia.","recovery":"Short; mild pin-site discomfort for a few days."},{"name":"Mask-based fractionated Gamma Knife","suits_whom":"Larger lesions or those near critical structures where staged dosing is safer.","recovery":"No pin sites; multiple short visits over a few days."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":2,"max":6,"unit":"hours","qualifier":"Whole treatment day: frame fitting, imaging, planning and delivery; beam time is about 0.5-2 hours."},"initial_assessment_documents":["Brain MRI with contrast, DICOM files","Radiology report of the MRI","Prior brain radiation or surgery records","Biopsy or pathology report (if available)","List of blood thinners","Recent neurologist or neurosurgeon summary"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-day radiosurgery; stay 2-4 days including pre-treatment imaging and discharge check. 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Gamma Knife treatment in Spain typically costs from _op_112_price_from_ to _op_112_price_to_. The final price depends on the clinic tier, tumor complexity, and required imaging like MRI or PET/CT. In the US, similar procedures cost around _price_compare_US_average_ on average. Patients save around _price_percent_discount_% compared to US private healthcare. Spanish quotes often include treatment planning, the procedure, and initial neurosurgeon consultations.

\n\n\n\n

Bookimed Expert Insight: Paying for premium packages in Madrid often yields higher value than basic options. For example, Hospital Ruber Internacional offers packages for approximately $41,350. These include extensive diagnostics like Angiography and PET/CT scans. This center is JCI-accredited and led by Dr. Roberto Martínez Álvarez. He has over 30 years of experience. High-tier Spanish clinics provide all-in-one pricing that covers multiple specialist consultations.

","faq":[{"q":"Will I need to undergo surgery or stay in the hospital for a long time?","a":"

Gamma Knife radiosurgery in Spain is a non-invasive treatment, so you will not undergo traditional open brain surgery. Most patients are discharged within a few hours or a single day. The procedure requires no incisions, eliminating the risk of surgical wounds and long hospitalizations.

Bookimed Expert Insight: While Gamma Knife avoids long hospital stays, Spanish specialists like Dr. Roberto Martínez Álvarez at Hospital Ruber Internacional often recommend staying in the city for several days. This allows for thorough pre-operative mapping including MRI, PET/CT, and angiography scans to ensure sub-millimeter precision before you fly home.

Patient Consensus: Patients value this procedure because it avoids brain penetration, making it ideal for deep, high-risk lesions. While the physical recovery is nearly instant, many note that the full therapeutic results appear gradually over several months.

"},{"q":"What types of conditions can be treated with a Gamma Knife?","a":"

Gamma Knife treatable conditions include brain metastases, acoustic neuromas, and meningiomas. This high-precision radiosurgery also targets vascular malformations like arteriovenous malformations and functional disorders such as trigeminal neuralgia or essential tremors. It serves as a non-invasive alternative for lesions deep within the brain or skull base.

Bookimed Expert Insight: While most patients search for Gamma Knife for tumors, Spanish centers like Hospital Ruber Internacional utilize it for rare functional neurosurgery. Specialists like Dr. Roberto Martínez Álvarez apply these precise beams to treat obsessive-compulsive disorder and anorexia. This indicates the technology's evolving role beyond oncology into specialized psychiatric and metabolic interventions.

Patient Consensus: Patients emphasize that Gamma Knife is a vital option for tumors unreachable by standard surgery. Many recommend clarifying if the procedure is for primary control or managing a recurrence after previous operations.

"}],"h2":[{"text":"How it works","kind":"content"},{"text":"How Much Does Gamma Knife Cost in Spain?","kind":"content"},{"text":"Gamma Knife Packages in Spain — November 2026","kind":"content"},{"text":"Discover the Best Gamma Knife Clinics in Spain: 4 Verified Options and Prices","kind":"content"},{"text":"Gamma Knife Overview in Spain","kind":"content"},{"text":"Our Doctors","kind":"content"},{"text":"Video Stories from Bookimed Patients","kind":"ui"},{"text":"Reviews about Bookimed: Discover Patients' Insights","kind":"ui"},{"text":"Share this content","kind":"ui"},{"text":"Our Gamma Knife Techniques: What Suits You Best?","kind":"content"},{"text":"FAQ about Gamma Knife in Spain","kind":"content"},{"text":"Get a free consultation","kind":"ui"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[{"field":"price.avg","chosen":"offers","offers":38831,"price_from":13500,"ratio":2.88,"threshold":2}]}