{"meta":{"humanUrl":"https://us-uk.bookimed.com/clinics/country=spain/procedure=hemorrhoid-therapy/best/","canonicalUrl":"https://us-uk.bookimed.com/clinics/country=spain/procedure=hemorrhoid-therapy/best/","jsonUrl":"https://us-uk.bookimed.com/clinics/country=spain/procedure=hemorrhoid-therapy/best/data.json","title":"Best clinics for Hemorrhoid Therapy in Spain — Ratings & Reviews | Bookimed","description":"10 top-rated clinics for Hemorrhoid Therapy in Spain. Compare rankings, prices, and patient reviews on Bookimed.","heading":"Best clinics for Hemorrhoid Therapy in Spain","locale":"en","schemaVersion":"ClinicBestPageDataV1","snapshotId":"acb48456-f34da07d","contentVersion":"acb48456","generatedAt":"2026-11-14T06:12:21.937Z"},"filters":{"country":"spain","procedure":"hemorrhoid-therapy","page":1},"pagination":{"page":1,"totalCount":10,"totalPages":1},"breadcrumbs":[{"name":"Home","url":"/"},{"name":"Clinics","url":"/clinics/"},{"name":"Spain","url":"/clinics/country=spain/"},{"name":"Hemorrhoid Therapy","url":"/clinics/country=spain/procedure=hemorrhoid-therapy/"},{"name":"Best","url":"/clinics/country=spain/procedure=hemorrhoid-therapy/best/"}],"entities":[{"name":"Spain","alias":"spain","type":"country","id":34},{"name":"Hemorrhoid Therapy","alias":"hemorrhoid-therapy","type":"procedure","id":1549}],"clinics":{"clinics":[{"text":"<p>Dr. Carlos Garcia Vasquez is a General and Digestive System Surgeon with extensive expertise in minimally invasive colorectal and proctologic surgery, including hemorrhoid therapy. He holds a PhD in Surgery and is certified in robotic surgery (Da Vinci X/Xi/5). As Associate Head at Infanta Elena University Hospital and Associate Surgeon at Fundación Jiménez Díaz, he combines clinical practice with research, having authored multiple publications and patents in abdominal wall surgery.</p><doctor id=\"11398\"></doctor>","text_type":"mt_wow_description","best_texts":{"techniques":"Laser treatment, injection sclerotherapy, rubber band ligation, minimally invasive hemorrhoidectomy, da Vinci robotic surgery, laparoscopic surgery","why_its_ranked":"Offers Da Vinci robotic surgery for complex hemorrhoid cases and laser surgery. Surgeons have a Master in Coloproctology and ESCP membership."},"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":6077.776796031423,"price_to":6077.776796031423,"currency":"USD","id":62007},"operation":{"id":1549,"name":"Hemorrhoid Therapy","alias":"hemorrhoid-therapy"}},{"prices":{"price_from":80,"price_to":80,"currency":"USD","id":63538},"diagnostic":{"id":67,"name":"Consultation with a proctologist","alias":"consultation-of-a-procologist"}}],"reviews":[],"clinic":{"id":7532,"alias":"centro-pad","name":"Digestive Surgery and Gastroenterology Specialist Centro PAD","short_description":"<p>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.</p><p>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.</p>","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":"<p>Dr. Xavier Centeno Fornies brings _doctor_8374_years_ of colorectal surgery expertise with 900+ hemorrhoid procedures performed. The initial consultation costs around $710, covering diagnostic evaluation, anoscopy if needed, and personalized treatment recommendations. Dr. Centeno specializes in minimally invasive techniques for anorectal disorders. The JCI-accredited Centro Médico Teknon follows international standards for patient care.</p><doctor id=\"8374\"></doctor>","text_type":"mt_wow_description","best_texts":{"techniques":"Hemorrhoidectomy, rubber band ligation of hemorrhoids","good_fit_for":"Complex anorectal disorders","why_its_ranked":"Offers expert care with 900+ procedures performed by Dr. Centeno, a specialist in anorectal disorders. Uses modern diagnostic tools and minimally invasive techniques for personalized treatment."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":884.0402612409342,"price_to":2762.6258163779194,"currency":"USD","id":55232},"operation":{"id":1549,"name":"Hemorrhoid Therapy","alias":"hemorrhoid-therapy"}},{"prices":{"price_from":230,"price_to":530,"currency":"USD","id":59198},"diagnostic":{"id":457,"name":"Consultation with creation of treatment plan ","alias":"consultation-with-creation-of-treatment-plan"}},{"prices":{"price_from":280,"price_to":510,"currency":"USD","id":65033},"diagnostic":{"id":453,"name":"Revision of MRI results","alias":"revision-of-mri-results"}}],"reviews":[],"clinic":{"id":78,"alias":"teknon-medical-center","name":"Centro Médico Teknon","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/78-6abd276198357.png","short_description":"<p><strong>Centro Médico Teknon</strong> is a private multi-specialty medical center in Barcelona, Spain, and part of Quirónsalud, Spain’s largest private hospital group. The center specializes in neurosurgery, orthopedics, oncology, and heart surgery, with expertise also covering cardiology, fertility, ophthalmology, and advanced diagnostics. JCI accredited and recognized as one of Barcelona’s leading private hospitals, Centro Médico Teknon treats complex cases and welcomes international patients, including public figures, athletes, and celebrities. The center serves adults only and welcomes around 10,000 patients each year, with patients most often coming from Russian-speaking countries, Europe and the Commonwealth, the USA, Canada, and Australia.</p>\n","images":[{"base_url":"clinic/5c87be3904761","title":"Centro Médico Teknon clinic exterior with grand staircase in Barcelona, Spain"},{"base_url":"clinic/5ab24c738630b","title":"Centro Médico Teknon clinic facade with landscaped garden in Barcelona, Spain"},{"base_url":"clinic/5ac3164cd87d2","title":"Medical team in front of Centro Médico Teknon clinic building in Barcelona, Spain"},{"base_url":"clinic/5ac3156221add","title":"Centro Médico Teknon clinic entrance in Barcelona, Spain"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Spain","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Barcelona","id":98,"alias":"barcelona"},"address":"Carrer de Vilana, 12, 08022 Barcelona, Spain"},"rating":{"rating":4.7,"google":3.5,"percent_of_satisfied_clients":93},"statistics":{"number_of_reviews":497,"doctors_number":400,"year_foundation":1994},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db98320c06c8.jpeg","name":"European Foundation for Quality Management","country_code":"BE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5df778168a0e7.jpeg","name":"THE IMTJ MEDICAL TRAVEL AWARD WINNER IN 2019","country_code":"GB"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa15d1e46dd.jpeg","name":"Patient choice in Neurology","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa164eddd5f.jpeg","name":"Patient choice in Neurosurgery","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa16d49cbac.jpeg","name":"Patient choice for Epilepsy treatment","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"World's Best Hospitals 2021 by Newsweek","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"<p>Quirónsalud Madrid is Spain's largest private hospital group, offering specialized Hemorrhoid Therapy with a multidisciplinary approach. The clinic's colorectal team provides comprehensive diagnostics and treatment options tailored to each patient's needs. Dr. José Luis Martín Del Yerro Coca, a seasoned plastic surgeon with extensive reconstructive experience, contributes to complex hemorrhoid cases requiring surgical intervention.</p><doctor id=\"8443\"></doctor>","text_type":"mt_wow_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":110,"price_to":110,"currency":"USD","id":62156},"diagnostic":{"id":457,"name":"Consultation with creation of treatment plan ","alias":"consultation-with-creation-of-treatment-plan"}},{"prices":{"price_from":280,"price_to":350,"currency":"USD","id":16888},"diagnostic":{"id":67,"name":"Consultation with a proctologist","alias":"consultation-of-a-procologist"}}],"reviews":[],"clinic":{"id":278,"alias":"quiron-madrid","name":"Quironsalud Madrid","short_description":"<p>Quirónsalud Madrid is the top clinic in Spain and Europe, the largest among Quirónsalud centers by the annual number of patients served.</p>\n\n<p><strong>Specialization</strong> ― oncology, neurosurgery, heart surgery, plastic surgery, and IVF.</p>\n\n<p>Quiron 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.</p>\n","images":[{"base_url":"clinic/5d12201e253f9","title":"Quironsalud Madrid hospital modern exterior in Spain"},{"base_url":"clinic/5d12201e1cd58","title":"Modern waiting room at Quironsalud Madrid clinic with colorful chairs and glass walls"},{"base_url":"clinic/5d12201e0ec16","title":"Spacious reception area at Quironsalud Madrid clinic with modern seating and information desk"},{"base_url":"clinic/5d12201c579de","title":"Patient room at Quironsalud Madrid with hospital bed and comfortable seating"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Spain","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Madrid","id":346,"alias":"madrid"},"address":"Calle Diego de Velázquez, 1, 28223 Pozuelo de Alarcón, Madrid, Spain"},"rating":{"rating":3.8,"google":3,"percent_of_satisfied_clients":50},"statistics":{"number_of_reviews":6,"doctors_number":0,"year_foundation":2007},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"World's Best Hospitals 2021 by Newsweek","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"<p>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.</p> <ul> <li>Performed 6,000+ surgeries and 93,000+ consultations in 2022 alone.</li> <li>Equipped with Gamma Knife ICON, CyberKnife, Da Vinci Xi, and 3-Tesla MRI.</li> <li>Treats both adults and children, with 108 private rooms and 15 luxury suites.</li> <li>ISO 9001, ISO 14001, and ISO 50001 certified for quality and environmental management.</li> </ul>","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":640,"price_to":640,"currency":"USD","id":64497},"diagnostic":{"id":453,"name":"Revision of MRI results","alias":"revision-of-mri-results"}}],"reviews":[],"clinic":{"id":6225,"alias":"hospital-ruber-internacional","name":"Hospital Ruber Internacional","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/6225-6ac3a2c7a2070.png","short_description":"<p>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.</p> <ul> <li>Performed 6,000+ surgeries and 93,000+ consultations in 2022 alone.</li> <li>Equipped with Gamma Knife ICON, CyberKnife, Da Vinci Xi, and 3-Tesla MRI.</li> <li>Treats both adults and children, with 108 private rooms and 15 luxury suites.</li> <li>ISO 9001, ISO 14001, and ISO 50001 certified for quality and environmental management.</li> </ul>","images":[{"base_url":"clinic/6756f35ff10ac","title":"Hospital Ruber Internacional exterior view at night in Madrid, Spain"},{"base_url":"clinic/6756f34586526","title":"Medical team at Hospital Ruber Internacional in surgical scrubs, group photo in clinic"},{"base_url":"clinic/6756f34626a12","title":"Patient room at Hospital Ruber Internacional with modern bed and garden view"},{"base_url":"clinic/6756f34b1f0c3","title":"Hospital Ruber Internacional exterior view in Madrid, modern medical facility"}],"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":"40, 416114,-3.714781, Centro, 28013 Madrid, Испания"},"rating":{"rating":5,"google":4.5,"percent_of_satisfied_clients":98},"statistics":{"number_of_reviews":3,"doctors_number":800,"year_foundation":1942},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"International Organization for Standardization","country_code":"CH"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"<p>Hospital Quiron Barcelona specializes in hemorrhoid therapy with advanced surgical techniques and personalized care. Dr. Antonio Alcaraz, a leading uro-oncologist with _doctor_291_years_ of experience, brings expertise in minimally invasive procedures. The hospital offers tailored treatment plans and international patient services.</p><doctor id=\"291\"></doctor>","text_type":"mt_wow_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":280,"price_to":390,"currency":"USD","id":64494},"diagnostic":{"id":457,"name":"Consultation with creation of treatment plan ","alias":"consultation-with-creation-of-treatment-plan"}}],"reviews":[],"clinic":{"id":279,"alias":"hospital-quiron-barcelona","name":"Hospital Quiron Barcelona","short_description":"<p>Quiron Barcelona Hospital is a top clinic in Spain, known for its advanced oncology care through the Baselga Institute of Oncology, which collaborates with leading American centers. With 23 operating rooms and cutting-edge technology like PET-CT and MRI, it offers precise and effective treatments, including robotized surgeries and assisted reproduction.</p>\n\n<p>The hospital provides personalized care for international patients, with 165 wards, suites, and royal apartments. Services include tailored treatment plans, WiFi, airport transfers, and nearby hotel accommodations, making it a preferred choice for high-quality medical care.</p>\n","images":[{"base_url":"clinic/5b040bd627256","title":"Hospital Quiron Barcelona modern clinic building exterior in Spain"},{"base_url":"clinic/5b040cf40de89","title":"Operating room with advanced imaging equipment at Hospital Quiron Barcelona"},{"base_url":"clinic/5b040cf51721a","title":"Spacious waiting area at Hospital Quiron Barcelona with modern seating and natural light"},{"base_url":"clinic/5b040cf5d0e1c","title":"Modern hospital corridor with elevators at Hospital Quiron Barcelona"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Spain","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Barcelona","id":98,"alias":"barcelona"},"address":"Plaça d'Alfonso Comín, 5-7, 08023 Barcelona, Spain"},"rating":{"rating":4.4,"google":3.5,"percent_of_satisfied_clients":66},"statistics":{"number_of_reviews":6,"doctors_number":300,"year_foundation":1997},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"<p>Clinica Universidad de Navarra is a JCI-accredited hospital with expertise in complex surgical procedures, including hemorrhoid therapy. The facility treats over 700,000 patients annually from 70 countries.</p>","text_type":"mt_wow_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":339,"alias":"clinica-universidad-de-navarra-navarra-hospital","name":"Clinica Universidad de Navarra (Navarra Hospital)","short_description":"<p>Clinica Universidad de Navarra (CUN) is the best private Spanish hospital in 2018 according to MERCO (monitoring organization of medical reputation).</p>\n\n<p>Navarra is a leading sarcoma center. 74% of patients get cured of bone sarcoma; and in up to 95% of cases, an affected limb is preserved.</p>\n\n<p>Oncology, Onco-Hematology, Organ Transplant, Neurosurgery, Cardiac Surgery are the primary specialties in Navarra Hospital.</p>\n\n<p>Hospital de Navarra is the 1st in Spain that has received JCI, the US certificate for the high quality of medical services.</p>\n\n<p>Over 700,000 patients from 70 countries have been treated at Navarra.</p>\n","images":[{"base_url":"clinic/5c618b62dfba4","title":"Clinic Universidad de Navarra modern hospital building in Pamplona, Spain"},{"base_url":"clinic/5c618b62c6ade","title":"Modern reception hall at Clinica Universidad de Navarra with glass stairs and art wall"},{"base_url":"clinic/5c618b62d5bbe","title":"Modern waiting area at Clinica Universidad de Navarra with seating and open design"},{"base_url":"clinic/5c618b62ef71f","title":"Advanced operating room at Clinica Universidad de Navarra with robotic surgery equipment"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Spain","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Pamplona","id":366,"alias":"pamplona"},"address":"Av. de Pío XII, 36, 31008 Pamplona, Navarra, Spain"},"rating":{"rating":4.7,"google":3.8,"percent_of_satisfied_clients":85},"statistics":{"number_of_reviews":7,"doctors_number":440,"year_foundation":1962},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d1129badf6c5.jpeg","name":"European Society for Medical Oncology","country_code":"CH"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5e5e5c99ba5be.jpeg","name":"World's Best Hospitals 2020 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"World's Best Hospitals 2021 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/60d499a36ac19.jpeg","name":"World's Best Smart Hospitals 2021 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/636103a731801.jpeg","name":"World's Best Hospitals 2022 by Newsweek","country_code":"US"},{"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":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"<p>Hospital HM Nou Delfos, part of Spain's largest hospital network, offers specialized Hemorrhoid Therapy with access to advanced diagnostics including CT and MRI. The clinic collaborates with Institut Guttmann, a JCI-accredited neurorehabilitation center. Dr. Carlos Torrecilla Ortiz, Head of Urology Service, specializes in comprehensive treatments for related conditions like lithiasis, bringing extensive urological expertise to hemorrhoid care. The center operates under HM Hospitals' standards for surgical and medical procedures.</p><doctor id=\"5388\"></doctor>","text_type":"mt_wow_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":422,"alias":"hospital-hm-delfos","name":"Hospital HM Nou Delfos","short_description":"<p>Hospital HM Nou Delfos is part of HM Hospitals, the largest private hospital network in Spain. This comprehensive medical-surgical center in Barcelona specializes in surgery, oncology, orthopedics, and cardiology. It holds EFQM excellence recognition and TÜV NORD ISO 9001 certification.</p> <ul> <li>Treats 400,000 patients per year across 40 departments and 200 physicians.</li> <li>Uses an EOS imaging system for high-precision musculoskeletal scans and two radiotherapy units.</li> <li>Has an agreement with Institut Guttmann, a JCI-accredited neurorehabilitation hospital.</li> <li>Offers specialized diagnosis and treatment for epilepsy through its neurology department.</li> </ul>","images":[{"base_url":"clinic/61792839585ce","title":"Hospital HM Nou Delfos clinic exterior in Barcelona, modern medical facility entrance"},{"base_url":"clinic/6409ccb4c0348","title":"Reception desk at Hospital HM Nou Delfos, modern medical facility in Barcelona"},{"base_url":"clinic/6179278ad430b","title":"Patient room with lounge area at Hospital HM Nou Delfos, Barcelona"},{"base_url":"clinic/61793493253c9","title":"Intensive care unit at Hospital HM Nou Delfos, Barcelona with advanced medical equipment"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Spain","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Barcelona","id":98,"alias":"barcelona"},"address":"Av. Vallcarca 151, 08023 Barselona, Spain"},"rating":{"rating":4.6,"google":3.2,"percent_of_satisfied_clients":98},"statistics":{"number_of_reviews":5,"doctors_number":200,"year_foundation":1966},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db98320c06c8.jpeg","name":"European Foundation for Quality Management","country_code":"BE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb725522d15.jpeg","name":"Certification according to DIN EN ISO 9001 by TÜV NORD CERT","country_code":"DE"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"<p>IMED - Elche is an ISO-certified hospital in Alicante, Spain. It specializes in pediatric neurosurgery, neurology, and therapy. Patients from the US, Canada, and the UK choose it for reliable care.</p> <ul> <li>Prices are 3 to 4 times lower than typical US clinic rates.</li> <li>Medical staff speak English, Spanish, Dutch, French, German, Norwegian, Russian, and Swedish.</li> <li>Online doctor consultations and medical records transfer are available.</li> <li>Services include airport pickup, hotel booking, interpreter assistance, and a personal concierge.</li> <li>Private rooms with free WiFi, TV, phone, and mobility accessible options are offered.</li> </ul>","text_type":"short_description","reviews":[],"clinic":{"id":588,"alias":"imed---elche","name":"IMED - Elche","short_description":"<p>IMED - Elche is an ISO-certified hospital in Alicante, Spain. It specializes in pediatric neurosurgery, neurology, and therapy. Patients from the US, Canada, and the UK choose it for reliable care.</p> <ul> <li>Prices are 3 to 4 times lower than typical US clinic rates.</li> <li>Medical staff speak English, Spanish, Dutch, French, German, Norwegian, Russian, and Swedish.</li> <li>Online doctor consultations and medical records transfer are available.</li> <li>Services include airport pickup, hotel booking, interpreter assistance, and a personal concierge.</li> <li>Private rooms with free WiFi, TV, phone, and mobility accessible options are offered.</li> </ul>","images":[{"base_url":"clinic/54fdf4b7b06dc","title":"Modern glass facade of IMED Elche clinic in Spain"},{"base_url":"clinic/683fc5190374a","title":"Modern reception area at IMED Elche clinic in Spain with stylish seating"},{"base_url":"clinic/424c7de00bf87","title":"Patient room at IMED Elche Clinic with modern hospital bed and visitor area"},{"base_url":"clinic/35546e1c44018","title":"Modern exterior of IMED Elche clinic in Spain with glass facade"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Spain","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Alicante","id":441,"alias":"alicante"},"address":"Calle Max Planck, 3, 03203 Elx Alicante, Spain"},"rating":{"rating":0,"google":3.3,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":0,"year_foundation":0},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"International Organization for Standardization","country_code":"CH"}]}},{"text":"<p>IMED - Levante is an ISO-accredited medical center in Alicante, Spain. Its core strengths are pediatric neurosurgery, neurology, and therapy. Prices run 3 to 4 times lower than in US clinics.</p> <ul> <li>Treats patients from the United States, Canada, and the UK.</li> <li>Offers low-cost procedures like hip replacement, foraminotomy, and mammography.</li> <li>Provides online doctor consultations, interpreter services, and airport pickup.</li> <li>Covers over 20 specialties including orthopedics, oncology, and neurosurgery.</li> </ul>","text_type":"short_description","reviews":[],"clinic":{"id":709,"alias":"imed---levante","name":"IMED - Levante","short_description":"<p>IMED - Levante is an ISO-accredited medical center in Alicante, Spain. Its core strengths are pediatric neurosurgery, neurology, and therapy. Prices run 3 to 4 times lower than in US clinics.</p> <ul> <li>Treats patients from the United States, Canada, and the UK.</li> <li>Offers low-cost procedures like hip replacement, foraminotomy, and mammography.</li> <li>Provides online doctor consultations, interpreter services, and airport pickup.</li> <li>Covers over 20 specialties including orthopedics, oncology, and neurosurgery.</li> </ul>","images":[{"base_url":"clinic/903a42b011c6f","title":"IMED Levante Hospital exterior with mountain view in Spain"},{"base_url":"clinic/edbc7aec4785a","title":"IMED Levante Hospital exterior with mountain view in Spain"},{"base_url":"clinic/e6da3a16a7cad","title":"Reception area at IMED Levante clinic, Benidorm, modern medical facility"},{"base_url":"clinic/63d56bee8c415","title":"Patient room at IMED Levante Clinic with hospital bed and visitor seating, Benidorm"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Spain","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Alicante","id":441,"alias":"alicante"},"address":"Calle Doctor Ramn y Cajal, 7, 03503 Benidorm Alicante, Spain"},"rating":{"rating":0,"google":3.2,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":0,"year_foundation":0},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"International Organization for Standardization","country_code":"CH"}]}},{"text":"<p>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.</p><p>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.</p><p>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.</p>","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":8240,"alias":"dr-santos-jimenez-de-los-galanes","name":"Dr. Santos Jiménez de los Galanes","short_description":"<p>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.</p><p>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.</p><p>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.</p>","images":[{"base_url":"clinic/6a4babae7985f","title":"Hospital Ruber Internacional modern clinic building in Madrid, Spain"},{"base_url":"clinic/6a4babb026300","title":"Operating room at Dr. Santos Jiménez de los Galanes Clinic with surgeon and modern equipment"},{"base_url":"clinic/6a4babb1cc215","title":"Surgeon with Da Vinci robotic surgery system at Dr. Santos Jiménez de los Galanes clinic"},{"base_url":"clinic/6a4babb395e95","title":"3D anatomical liver and bile duct models at Dr. Santos Jiménez de los Galanes clinic"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Spain","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Madrid","id":346,"alias":"madrid"},"address":"Ruber Internacional - Centro doctor Habana, P.º de La Habana, 43, Chamartín, 28036 Madrid, Spain"},"rating":{"rating":4.7,"google":4.8,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":6},"accreditations":[],"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":10,"total_pages":1}},"promoSlots":[{"card":{"text":"<p>Dr. Carlos Garcia Vasquez is a General and Digestive System Surgeon with extensive expertise in minimally invasive colorectal and proctologic surgery, including hemorrhoid therapy. He holds a PhD in Surgery and is certified in robotic surgery (Da Vinci X/Xi/5). As Associate Head at Infanta Elena University Hospital and Associate Surgeon at Fundación Jiménez Díaz, he combines clinical practice with research, having authored multiple publications and patents in abdominal wall surgery.</p><doctor id=\"11398\"></doctor>","text_type":"mt_wow_description","best_texts":{"techniques":"Laser treatment, injection sclerotherapy, rubber band ligation, minimally invasive hemorrhoidectomy, da Vinci robotic surgery, laparoscopic surgery","why_its_ranked":"Offers Da Vinci robotic surgery for complex hemorrhoid cases and laser surgery. 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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. 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Surgeries are performed at HLA Moncloa University Hospital, recognized among the World's Best Smart Hospitals 2023 by Newsweek and certified to ISO 45001. 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His expertise is backed by extensive training and research.</p><ul><li>PhD in Medicine and Surgery from Autonomous University of Madrid</li><li>European Accreditation in Laparoscopic Surgery by EACCME</li><li>Specialist at Rey Juan Carlos and Jiménez Díaz University Hospitals</li><li>Master's in Colorectal and Pelvic Floor Surgery</li></ul>","doctor":{"id":11399,"alias":"cesar-levano-linares","name":"Cesar Levano Linares","clinic_id":7532,"photo":"doctor/699b0acf0d308","first_year_working":2012,"created_at":"2026-02-22T13:55:26.046+00:00","short_description":"<p>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.</p><ul><li>Specializes in laparoscopic colorectal surgery and robotic low anterior resection.</li><li>Obtained a diploma in laparoscopic surgery from Louis Pasteur University in France.</li><li>Completed a master’s in colorectal and pelvic floor surgery at the University of Zaragoza.</li><li>Treats complex conditions including incisional hernias, ulcerative colitis, and rectal prolapse.</li></ul>","specialities":[{"id":"gst.001","name":"Gastroenterologist","illness_kind_id":13},{"id":"sur.006","name":"Colorectal surgeon","illness_kind_id":33},{"id":"sur.010","name":"General surgeon","illness_kind_id":33}],"statistics":{"review_count":0,"review_score":0}},"clinic":{"id":7532,"alias":"centro-pad","name":"Digestive Surgery and Gastroenterology Specialist Centro PAD","short_description":"<p>Centro PAD is a private digestive surgery and gastroenterology center in Madrid, Spain, founded and directed by Dr. Carlos Garcia Vasquez. 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He completed specialized training at the Mayo Clinic in Rochester, USA. Dr. Centeno focuses on treating hemorrhoids, hernias, and gastrointestinal tumors. His practice at Teknon is supported by the clinic's JCI and EFQM quality accreditations.</p><ul><li>Member of the American Society of Colon and Rectal Surgeons.</li><li>Accredited by the ERAS-Society in Sweden for enhanced recovery after surgery.</li><li>Former associate professor at the University of Blanquerna.</li><li>Performs rectal resection, laparoscopy, and gallbladder surgery.</li></ul>","specialities":[{"id":"sur.006","name":"Colorectal surgeon","illness_kind_id":33},{"id":"sur.009","name":"Gastrointestinal surgeon","illness_kind_id":33},{"id":"sur.010","name":"General surgeon","illness_kind_id":33}],"statistics":{"review_count":0,"review_score":0}},"clinic":{"id":78,"alias":"teknon-medical-center","name":"Centro Médico Teknon","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/78-6abd276198357.png","short_description":"<p><strong>Centro Médico Teknon</strong> is a private multi-specialty medical center in Barcelona, Spain, and part of Quirónsalud, Spain’s largest private hospital group. The center specializes in neurosurgery, orthopedics, oncology, and heart surgery, with expertise also covering cardiology, fertility, ophthalmology, and advanced diagnostics. JCI accredited and recognized as one of Barcelona’s leading private hospitals, Centro Médico Teknon treats complex cases and welcomes international patients, including public figures, athletes, and celebrities. The center serves adults only and welcomes around 10,000 patients each year, with patients most often coming from Russian-speaking countries, Europe and the Commonwealth, the USA, Canada, and Australia.</p>\n","images":[{"base_url":"clinic/5c87be3904761","title":"Centro Médico Teknon clinic exterior with grand staircase in Barcelona, Spain"},{"base_url":"clinic/5ab24c738630b","title":"Centro Médico Teknon clinic facade with landscaped garden in Barcelona, Spain"},{"base_url":"clinic/5ac3164cd87d2","title":"Medical team in front of Centro Médico Teknon clinic building in Barcelona, Spain"},{"base_url":"clinic/5ac3156221add","title":"Centro Médico Teknon clinic entrance in Barcelona, Spain"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Spain","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Barcelona","id":98,"alias":"barcelona"},"address":"Carrer de Vilana, 12, 08022 Barcelona, Spain"},"rating":{"rating":4.7,"google":3.5,"percent_of_satisfied_clients":93},"statistics":{"number_of_reviews":497,"doctors_number":400,"year_foundation":1994},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db98320c06c8.jpeg","name":"European Foundation for Quality Management","country_code":"BE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5df778168a0e7.jpeg","name":"THE IMTJ MEDICAL TRAVEL AWARD WINNER IN 2019","country_code":"GB"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa15d1e46dd.jpeg","name":"Patient choice in Neurology","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa164eddd5f.jpeg","name":"Patient choice in Neurosurgery","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa16d49cbac.jpeg","name":"Patient choice for Epilepsy treatment","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"World's Best Hospitals 2021 by Newsweek","country_code":"US"}]},"procedure_prices":[{"prices":{"price_from":884.0402612409342,"price_to":2762.6258163779194,"currency":"USD","id":55232},"operation":{"id":1549,"name":"Hemorrhoid Therapy","alias":"hemorrhoid-therapy"}}]},{"doctor":{"id":13184,"alias":"santos-jimenez-de-los-galanes-marchan","name":"Santos Jiménez de los Galanes Marchán","clinic_id":8240,"photo":"doctor/6a4babdb3a63c","first_year_working":0,"created_at":"2026-07-06T13:21:29.708+00:00","short_description":"Santos Jiménez de los Galanes Marchán is a specialist at the clinic focused on robotic and laparoscopic abdominal surgery. He developed Laser Hemorrhoidoplasty (LHP), a minimally invasive hemorrhoid approach using laser technology and a bio-stimulating substance from the patient. His work has been recognized by La Razón with the “Medical Doctor of the Year” award for innovation in robotic and minimally invasive digestive surgery (2025).","specialities":[{"id":"sur.010","name":"General surgeon","illness_kind_id":33},{"id":"sur.009","name":"Gastrointestinal surgeon","illness_kind_id":33}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":8240,"alias":"dr-santos-jimenez-de-los-galanes","name":"Dr. Santos Jiménez de los Galanes","short_description":"<p>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.</p><p>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.</p><p>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.</p>","images":[{"base_url":"clinic/6a4babae7985f","title":"Hospital Ruber Internacional modern clinic building in Madrid, Spain"},{"base_url":"clinic/6a4babb026300","title":"Operating room at Dr. Santos Jiménez de los Galanes Clinic with surgeon and modern equipment"},{"base_url":"clinic/6a4babb1cc215","title":"Surgeon with Da Vinci robotic surgery system at Dr. Santos Jiménez de los Galanes clinic"},{"base_url":"clinic/6a4babb395e95","title":"3D anatomical liver and bile duct models at Dr. Santos Jiménez de los Galanes clinic"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Spain","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Madrid","id":346,"alias":"madrid"},"address":"Ruber Internacional - Centro doctor Habana, P.º de La Habana, 43, Chamartín, 28036 Madrid, Spain"},"rating":{"rating":4.7,"google":4.8,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":6},"accreditations":[]}},{"doctor":{"id":291,"alias":"antonio-alcaraz","name":" Antonio Alcaraz","clinic_id":279,"photo":"doctor/5acf603c1de1a","first_year_working":1988,"created_at":"2016-08-01T09:08:54.000+00:00","short_description":"<p>Dr. Antonio Alcaraz is a pioneer in robotic and laparoscopic surgery. 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return next day; longer if pain or desk-sitting discomfort persists."},"complication_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Any complication after banding, mainly pain and minor bleeding; serious ones such as sepsis under 1%."},"contraindications":["Suspected anorectal cancer or unevaluated rectal bleeding","Active anorectal infection or abscess","Uncontrolled bleeding disorder or anticoagulation (relative; needs specialist planning)","Severe immunosuppression or anorectal inflammatory bowel disease (relative)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Office procedure; patient leaves within about an hour."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":0,"max":1,"unit":"weeks","qualifier":"Light activity next day; strenuous exercise and heavy lifting after several days if comfortable."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"After the last banding session; depends on number of hemorrhoids and sessions needed."},"fly_home_after_days":{"min":1,"max":3,"unit":"days","qualifier":"Short flights usually fine next day; delayed bleeding can occur around day 5-10."},"follow_up_visits":[{"purpose":"assessment","after":{"min":28,"max":42,"unit":"days","qualifier":"Review symptom response and decide on a further banding session."},"requirement":"routine"},{"purpose":"wound_check","after":{"min":7,"max":14,"unit":"days","qualifier":"Only for significant pain, bleeding or urinary difficulty after banding."},"requirement":"conditional"}],"indications":["Symptomatic hemorrhoids: bleeding, prolapse, pain, itching or discomfort","Persistent grade I–III internal hemorrhoids despite conservative care","High-grade, prolapsing, thrombosed or treatment-resistant hemorrhoids"],"main_risks":["Pain or anal discomfort after procedural treatment","Bleeding","Urinary retention (more with surgery)","Thrombosis or recurrence of hemorrhoids","Infection or abscess (uncommon)","Anal stenosis or continence disturbance (uncommon, mainly after surgery)"],"pain":"Mild to moderate pressure or aching for 1-3 days, usually managed with paracetamol and warm baths. Severe pain is uncommon and needs prompt review.","preparation":["Colonoscopy or sigmoidoscopy beforehand if indicated","Review blood thinners with the specialist","Fiber and fluids to avoid constipation","Enema or empty bowel as advised","Eat normally; no fasting usually required","Avoid NSAIDs and aspirin unless advised"],"recovery_timeline":[{"phase":"Day 0-3","description":"Rectal fullness or mild aching; small amount of spotting possible.","restrictions":["Avoid straining","Avoid NSAIDs and aspirin","Avoid heavy lifting"]},{"phase":"Day 4-10","description":"Bands and treated tissue slough off; light bleeding can occur around day 5-10.","restrictions":["Keep stools soft","Avoid long-distance travel if bleeding concerns"]},{"phase":"Weeks 2-6","description":"Ulcer heals and symptoms improve; reassess for further banding.","restrictions":["Continue fiber and hydration","Avoid prolonged toilet sitting"]}],"rehabilitation_days":{"min":1,"max":3,"unit":"days","qualifier":"Time to ordinary comfort and function; depends on band count and individual pain tolerance."},"result_longevity":"Symptom relief often lasts years, but recurrence occurs in a notable minority. Diet, stool regulation and avoiding straining help maintain results.","revision_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Repeat banding or surgery for recurrent symptoms within about 2-5 years; surgery needed in under 10%."},"scars":"No external incisions or visible scars. The banded internal tissue forms a small healing ulcer that resolves within weeks.","sessions_or_stages":{"sessions":{"min":1,"max":3,"unit":"visits","qualifier":"Usually one to three banding sessions, often one to two hemorrhoids each."},"stages":[{"code":"first_banding","label":"First banding session","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of initial treatment."}},{"code":"repeat_banding","label":"Repeat banding if symptoms persist","after":{"min":28,"max":42,"unit":"days","qualifier":"Interval of about 4-6 weeks between sessions."}}],"qualifier":"Sessions depend on hemorrhoid grade, number of columns and symptom response."},"success":{"metric":"Symptom improvement after rubber band ligation","value":80,"unit":"percent of patients","horizon":"1-3 months after last session","population":"Adults with symptomatic grade I-III internal hemorrhoids","evidence_status":"limited"},"techniques":[{"name":"Rubber band ligation","suits_whom":"Persistent grade I–III internal hemorrhoids","recovery":"Office procedure; most patients resume usual activities quickly, with mild discomfort possible."},{"name":"Sclerotherapy","suits_whom":"Lower-grade bleeding internal hemorrhoids","recovery":"Office procedure with short recovery."},{"name":"Conventional hemorrhoidectomy","suits_whom":"High-grade, prolapsing, thrombosed or refractory hemorrhoids","recovery":"Longer recovery with more postoperative pain than office methods."},{"name":"Stapled hemorrhoidectomy","suits_whom":"Circumferential prolapsing internal hemorrhoids, grade III–IV","recovery":"Less postoperative pain than conventional excision; usually back to activity within two weeks."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.1,"max":0.5,"unit":"hours","qualifier":"Procedure takes about 5-15 minutes plus assessment and brief observation."},"initial_assessment_documents":["Colonoscopy or sigmoidoscopy report","Previous proctology or colorectal surgeon report","Photos of external prolapse or swelling (if available)","Recent complete blood count","List of blood thinners"],"travel_trips":{"min":1,"max":3,"one_trip_possible":true,"qualifier":"One trip if one session suffices; 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A temperature 2. Fresh bleeding or bruising 3. Redness or swelling at the operation site 4. Pus or drainage from the operation site","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Redness or swelling at the operation site","urgency":"contact_clinic","general":false,"source":{"url":"https://www.leedsth.nhs.uk/patients/resources/haemorrhoid-surgery-surgery-for-piles/","host":"leedsth.nhs.uk","quote":"1. A temperature 2. Fresh bleeding or bruising 3. Redness or swelling at the operation site","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W5","text":"Prolonged or severe pain","urgency":"contact_clinic","general":true,"source":{"url":"https://www.leedsth.nhs.uk/patients/resources/haemorrhoid-surgery-surgery-for-piles/","host":"leedsth.nhs.uk","quote":"1. A temperature 2. Fresh bleeding or bruising 3. Redness or swelling at the operation site 4. Pus or drainage from the operation site 5. 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various preparations and brands are commonly used.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You want a treatment that is not usually painful","name":"Hemorrhoidal artery ligation","source":{"url":"https://www.ncic.nhs.uk/patients-visitors/patient-information-leaflets/General-surgery-Haemorrhoids","host":"ncic.nhs.uk","quote":"This procedure is not usually painful and is gaining in popularity as a treatment option","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"rubber-band-ligation","name":"Rubber band ligation","how_it_works":{"text":"A band is placed around hemorrhoids to make them drop off","source":{"url":"https://www.nhs.uk/conditions/piles-haemorrhoids/","host":"nhs.uk","quote":"a band is placed around your piles to make them drop off","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":0,"max":0,"unit":"days","label":"Same day","source":{"url":"https://my.clevelandclinic.org/health/procedures/hemorrhoid-banding","host":"my.clevelandclinic.org","quote":"You can usually go back to your usual activities right after hemorrhoid banding.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"sclerotherapy","name":"Sclerotherapy","how_it_works":{"text":"A liquid is injected into hemorrhoids to make them shrink","source":{"url":"https://www.nhs.uk/conditions/piles-haemorrhoids/","host":"nhs.uk","quote":"a liquid is injected into your piles to make them shrink","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":0,"max":0,"unit":"days","label":"Same day","source":{"url":"https://www.ucsfhealth.org/education/hemorrhoids/","host":"ucsfhealth.org","quote":"You may return to daily activities right away.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"conventional","name":"Conventional hemorrhoidectomy","how_it_works":{"text":"An operation cuts away the hemorrhoids during surgery","source":{"url":"https://www.ncic.nhs.uk/patients-visitors/patient-information-leaflets/General-surgery-Haemorrhoids","host":"ncic.nhs.uk","quote":"Haemorrhoidectomy (the traditional operation) - 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