{"key":"op_1717_ES","page":{"url":"https://us-uk.bookimed.com/clinics/country=spain/procedure=perianal-skin-tag-removal/","procedure":{"id":1717,"slug":"perianal-skin-tag-removal","name":"Perianal Skin Tag Removal","name_forms":{"plural":{"status":"missing","reason":"not_collected"},"genitive":{"status":"missing","reason":"not_collected"}},"type":"surgery","grammar_number":{"status":"missing","reason":"not_collected"},"parent_id":"proctology","family_attribute":{"status":"missing","reason":"not_collected"}},"country":{"id":34,"iso":"ES","name":"Spain"},"currency":"USD","data_date":{"status":"missing","reason":"not_collected"}},"pages":{"clinics_url":"https://us-uk.bookimed.com/clinics/country=spain/procedure=perianal-skin-tag-removal/","cost_url":"https://us-uk.bookimed.com/clinics/country=spain/procedure=perianal-skin-tag-removal/cost/","best_url":{"status":"missing","reason":"template not live"}},"price":{"from":3300,"to":{"status":"missing","reason":"not_collected"},"avg":{"value":3328,"method":"median","source":"offers"},"us":{"from":900,"to":2400},"uk":{"from":900,"to":1900},"by_technique":{"status":"missing","reason":"not_collected"},"by_city":[{"city":"Madrid","from":3300},{"city":"Barcelona","from":450},{"city":"Alicante","from":550}],"per_unit":{"status":"missing","reason":"not_collected"},"factors":{"status":"missing","reason":"not_collected"},"tiers":{"source":"offers","items":[{"tier":"basic","min":3328,"max":3328,"median":3328,"count":1}]},"comparison":[{"country_iso":"UA","from":120,"to":300},{"country_iso":"FR","from":650,"to":1500},{"country_iso":"GB","from":900,"to":1900},{"country_iso":"US","from":900,"to":2400},{"country_iso":"IL","from":1100,"to":1900},{"country_iso":"TR","from":350,"to":850},{"country_iso":"MX","from":900,"to":1700},{"country_iso":"DE","from":450,"to":1200},{"country_iso":"CA","from":900,"to":2000},{"country_iso":"AE","from":700,"to":1600},{"country_iso":"TH","from":450,"to":750},{"country_iso":"PL","from":980,"to":{"status":"missing","reason":"not_collected"}},{"country_iso":"KR","from":450,"to":1100},{"country_iso":"CZ","from":250,"to":650},{"country_iso":"AT","from":550,"to":1400},{"country_iso":"IT","from":650,"to":1300},{"country_iso":"CN","from":450,"to":1100},{"country_iso":"AU","from":1100,"to":2200},{"country_iso":"IN","from":450,"to":850},{"country_iso":"MY","from":450,"to":900},{"country_iso":"VN","from":350,"to":800},{"country_iso":"BR","from":650,"to":1100}],"base_country":"US","base_is_fallback":false},"savings":{"pct":-267,"variant":"more_expensive"},"package":{"included":["24-hr nurse services","3 meals per day by nutritionist","Consultation with a surgeon","Consultation with an anesthesiologist"],"excluded":["Accommodation is not included","Transfer is not included"],"extra_charges":{"status":"missing","reason":"not_collected"}},"clinics":{"count":1,"items":[{"id":7532,"name":"Digestive Surgery and Gastroenterology Specialist Centro PAD","city":"Madrid","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":["ISO 45001 (Occupational Health and Safety Management)","World's Best Smart Hospitals 2023 by Newsweek"],"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":"6a93d97e255b9c3efe047c02","price":3328,"nights":0,"included":["3 meals per day by nutritionist","24-hr nurse services","Consultation with an anesthesiologist","Consultation with a surgeon"],"excluded":["Accommodation is not included","Transfer is not included"],"other_services":"Your surgeon is always Dr. Carlos Garcia Vasquez: he personally performs every surgery, and the surgeon who assesses you is the surgeon who operates on you. Comprehensive Perianal Aesthetics & Skin Tag Resection Care Package This specialized outpatient surgical program provides precise aesthetic and functional refinement of the anal and perianal region. Designed to address symptomatic or cosmetically concerning anal skin tags (sentinel tags / hypertrophied papillae), irregular tissue folds, and perianal asymmetry, this single combined procedure restores smooth perianal contour, improves hygiene, and resolves chronic local irritation with minimal recovery time. What the Package Includes Pre-Surgical Evaluation & Specialized Assessment: In-depth clinical consultation, digital examination, and high-resolution anoscopy with a specialized proctologist/colorectal surgeon. Pre-anesthesia assessment (local anesthesia with monitored intravenous sedation or short general anesthesia). Personalized aesthetic evaluation, procedural planning, and preoperative hygiene instructions. Surgical Procedure (Aesthetic Perianal Regularization & Tag Resection): Complete, single-session resection of perianal skin tags, fibrotic folds, and redundant anal verge tissue. Delicate perianal contouring and cosmetic mucosal/skin realignment using precision micro-electrosurgery or advanced radiofrequency/laser dissection to ensure smooth margins, minimal scarring, and optimal hemostasis. Full surgeon, assistant, dedicated anesthesiologist, and specialized nursing team fees. Day-surgery operating room access, advanced energy systems, and sterile single-use surgical supplies. Immediate Postoperative Recovery & Follow-Up: Post-anesthesia care unit (PACU) recovery and short outpatient monitoring in a private day-hospital room. Specialized immediate post-care instructions, sitz-bath protocols, and multimodal pain management. Direct surgeon evaluation and discharge clearance on the same day. Full medical report, prescribed post-care medications, and dedicated surgical follow-up within the first 30 days (including wound healing monitoring and aesthetic outcome review). Exclusions Concomitant complex colorectal pathology discovered intraoperatively (e.g., high transsphincteric anal fistulas, complex abscess drainage, or extensive multi-column hemorrhoidectomy). Preoperative specialist consultations or imaging (e.g., endoanal ultrasound or pelvic MRI) prior to surgical clearance. Long-term cosmetic dermatology treatments, depigmentation therapies, or late scar revision treatments beyond standard post-surgical wound healing."}]}]},"doctors":{"count":1,"languages":{"status":"missing","reason":"not_collected"}},"cities":[{"id":346,"slug":"madrid","name":"Madrid","clinics_count":1,"price_from":3300,"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"}},{"id":98,"slug":"barcelona","name":"Barcelona","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":450,"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":550,"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"}}],"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":"6a93d97e255b9c3efe047c02","clinic_id":7532,"clinic_listed":true,"price":3328,"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":["3 meals per day by nutritionist","24-hr nurse services","Consultation with an anesthesiologist","Consultation with a surgeon"],"excluded":["Accommodation is not included","Transfer is not included"],"other_services":"Your surgeon is always Dr. Carlos Garcia Vasquez: he personally performs every surgery, and the surgeon who assesses you is the surgeon who operates on you. Comprehensive Perianal Aesthetics & Skin Tag Resection Care Package This specialized outpatient surgical program provides precise aesthetic and functional refinement of the anal and perianal region. Designed to address symptomatic or cosmetically concerning anal skin tags (sentinel tags / hypertrophied papillae), irregular tissue folds, and perianal asymmetry, this single combined procedure restores smooth perianal contour, improves hygiene, and resolves chronic local irritation with minimal recovery time. What the Package Includes Pre-Surgical Evaluation & Specialized Assessment: In-depth clinical consultation, digital examination, and high-resolution anoscopy with a specialized proctologist/colorectal surgeon. Pre-anesthesia assessment (local anesthesia with monitored intravenous sedation or short general anesthesia). Personalized aesthetic evaluation, procedural planning, and preoperative hygiene instructions. Surgical Procedure (Aesthetic Perianal Regularization & Tag Resection): Complete, single-session resection of perianal skin tags, fibrotic folds, and redundant anal verge tissue. Delicate perianal contouring and cosmetic mucosal/skin realignment using precision micro-electrosurgery or advanced radiofrequency/laser dissection to ensure smooth margins, minimal scarring, and optimal hemostasis. Full surgeon, assistant, dedicated anesthesiologist, and specialized nursing team fees. Day-surgery operating room access, advanced energy systems, and sterile single-use surgical supplies. Immediate Postoperative Recovery & Follow-Up: Post-anesthesia care unit (PACU) recovery and short outpatient monitoring in a private day-hospital room. Specialized immediate post-care instructions, sitz-bath protocols, and multimodal pain management. Direct surgeon evaluation and discharge clearance on the same day. Full medical report, prescribed post-care medications, and dedicated surgical follow-up within the first 30 days (including wound healing monitoring and aesthetic outcome review). Exclusions Concomitant complex colorectal pathology discovered intraoperatively (e.g., high transsphincteric anal fistulas, complex abscess drainage, or extensive multi-column hemorrhoidectomy). Preoperative specialist consultations or imaging (e.g., endoanal ultrasound or pelvic MRI) prior to surgical clearance. Long-term cosmetic dermatology treatments, depigmentation therapies, or late scar revision treatments beyond standard post-surgical wound healing.","is_package":true}],"packages":[{"id":"6a93d97e255b9c3efe047c02","clinic_id":7532,"clinic_listed":true,"price":3328,"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":["3 meals per day by nutritionist","24-hr nurse services","Consultation with an anesthesiologist","Consultation with a surgeon"],"excluded":["Accommodation is not included","Transfer is not included"],"other_services":"Your surgeon is always Dr. Carlos Garcia Vasquez: he personally performs every surgery, and the surgeon who assesses you is the surgeon who operates on you. Comprehensive Perianal Aesthetics & Skin Tag Resection Care Package This specialized outpatient surgical program provides precise aesthetic and functional refinement of the anal and perianal region. Designed to address symptomatic or cosmetically concerning anal skin tags (sentinel tags / hypertrophied papillae), irregular tissue folds, and perianal asymmetry, this single combined procedure restores smooth perianal contour, improves hygiene, and resolves chronic local irritation with minimal recovery time. What the Package Includes Pre-Surgical Evaluation & Specialized Assessment: In-depth clinical consultation, digital examination, and high-resolution anoscopy with a specialized proctologist/colorectal surgeon. Pre-anesthesia assessment (local anesthesia with monitored intravenous sedation or short general anesthesia). Personalized aesthetic evaluation, procedural planning, and preoperative hygiene instructions. Surgical Procedure (Aesthetic Perianal Regularization & Tag Resection): Complete, single-session resection of perianal skin tags, fibrotic folds, and redundant anal verge tissue. Delicate perianal contouring and cosmetic mucosal/skin realignment using precision micro-electrosurgery or advanced radiofrequency/laser dissection to ensure smooth margins, minimal scarring, and optimal hemostasis. Full surgeon, assistant, dedicated anesthesiologist, and specialized nursing team fees. Day-surgery operating room access, advanced energy systems, and sterile single-use surgical supplies. Immediate Postoperative Recovery & Follow-Up: Post-anesthesia care unit (PACU) recovery and short outpatient monitoring in a private day-hospital room. Specialized immediate post-care instructions, sitz-bath protocols, and multimodal pain management. Direct surgeon evaluation and discharge clearance on the same day. Full medical report, prescribed post-care medications, and dedicated surgical follow-up within the first 30 days (including wound healing monitoring and aesthetic outcome review). Exclusions Concomitant complex colorectal pathology discovered intraoperatively (e.g., high transsphincteric anal fistulas, complex abscess drainage, or extensive multi-column hemorrhoidectomy). Preoperative specialist consultations or imaging (e.g., endoanal ultrasound or pelvic MRI) prior to surgical clearance. Long-term cosmetic dermatology treatments, depigmentation therapies, or late scar revision treatments beyond standard post-surgical wound healing.","is_package":true}],"related_packages":{"status":"missing","reason":"not_collected"},"other_packages":{"status":"missing","reason":"not_classified"}},"medical":{"indications":["Hygiene difficulty from perianal skin tags","Recurrent irritation, itching or soiling","Cosmetic concern","Discomfort when sitting or wiping","Tags persisting after resolved thrombosed hemorrhoid"],"contraindications":["Active anal or perianal infection or abscess","Suspected Crohn's disease with active perianal disease","Uncontrolled bleeding disorder or anticoagulation that cannot be paused","Suspected anal cancer or unexplained lesion needing biopsy first","Pregnancy","Severe uncontrolled systemic illness"],"operation_hours":{"min":0.25,"max":0.75,"unit":"hours","qualifier":"Depends on number and size of tags."},"anesthesia":["local"],"sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single treatment session."},"stages":[{"code":"excision","label":"Excision of skin tags under local anesthesia","after":{"min":0,"max":0,"unit":"days","qualifier":"Same day as consultation or on arrival."}}],"qualifier":"Standalone one-session procedure."},"hospital_nights":{"value":0,"source":"offers","parsed_details":{"min":0,"max":0,"unit":"nights","qualifier":"Same-day discharge after short observation."}},"treatment_conditions":["day_case"],"rehabilitation_days":{"min":3,"max":7,"unit":"days","qualifier":"Return to ordinary daily function with mild residual discomfort."},"fly_home_after_days":{"min":1,"max":3,"unit":"days","qualifier":"After initial check and pain control; avoid prolonged sitting and keep wound clean during travel."},"back_to_work_days":{"min":1,"max":4,"unit":"days","qualifier":"Desk work resumes in 1-2 days; physical work takes up to 4 days until wound discomfort settles."},"exercise_resume_weeks":{"min":1,"max":2,"unit":"weeks","qualifier":"Light activity earlier; cycling, heavy lifting and swimming after the wound is comfortable and mostly healed."},"final_result_months":{"min":0.5,"max":1,"unit":"months","qualifier":"Wound heals in 2-4 weeks; residual skin flattening settles by about 1 month."},"result_longevity":"Removed tags do not regrow in the same spot, but new tags can form, especially with underlying hemorrhoids, fissures or inflammatory bowel disease.","main_risks":["Bleeding","Wound infection","Delayed healing","Pain at the site","Recurrence or new tags","Anal stenosis if excessive tissue removed","Residual skin redundancy"],"complication_rate_pct":{"min":2,"max":10,"unit":"percent","qualifier":"Any minor complication (bleeding, infection, delayed healing) within 6 weeks; serious ones under 1%"},"revision_rate_pct":{"min":2,"max":10,"unit":"percent","qualifier":"Repeat excision for residual or new tags within 1-2 years, higher with underlying hemorrhoids or fissure"},"success":{"metric":"Complete removal of treated skin tags with full wound healing","value":95,"horizon":"4 weeks","source":{"status":"missing","reason":"not_collected"},"evidence_status":"limited"},"scars":"Small flat linear scar hidden in perianal skin folds; usually barely visible once healed.","pain":"Mild to moderate for 3-7 days; usually controlled with simple oral analgesics, sitz baths and stool softeners.","preparation":["Proctologic exam to exclude hemorrhoids, fissure, fistula or Crohn's","Pause blood thinners only as advised by the treating doctor","Local enema or bowel emptying if instructed","Shave the perianal area if instructed","Start stool softeners if instructed"],"recovery_timeline":[{"phase":"Days 0-3","description":"Mild pain, minor spotting, dressing in place.","restrictions":["Avoid straining","No heavy lifting","Keep area clean and dry"]},{"phase":"Days 4-14","description":"Discomfort fades; sitz baths and hygiene care continue.","restrictions":["Avoid vigorous exercise","Avoid prolonged sitting","No swimming until healed"]},{"phase":"Weeks 2-4","description":"Wound closes fully and normal activity returns.","restrictions":["Gradual return to sport"]}],"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Can be done remotely or locally if abroad stay is short."}},{"purpose":"result_review","requirement":"conditional","after":{"min":21,"max":35,"unit":"days","qualifier":"Confirms complete healing."}}],"sources":{"status":"missing","reason":"not_collected"},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask the surgeon about their training and qualifications","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"what training and qualifications they have","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Ask how many procedures like yours the surgeon has performed","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"how many procedures like the one you're having they have done","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Have a consultation with the surgeon who will perform the procedure before deciding","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"Always book a consultation with the person who will do the procedure before making your final decision.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Ask what happens if complications occur","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"what happens if there are complications","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Check whether the clinic or hospital has satisfactory facilities and standards","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C6","text":"Ask about the procedure’s most common complications","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"about the most common complications of the procedure","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The offer uses online group discounts or treatment vouchers","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"treatment vouchers sold online on group discount or voucher sites.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"The surgeon does not provide two consultations before surgery","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"The procedure is offered through a mobile service in a private home or hotel","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"mobile services where procedures are performed in places such as private homes or hotels","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F4","text":"The practitioner only advertises the service on social media","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"practitioners who only advertise on social media","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-12","next_check_at":"2027-02-10"},"take_home":{"status":"ok","items":[{"id":"T1","text":"It documents the procedure performed for the home doctor","document":"operation note","source":{"url":"https://www.leavale.nhs.uk/clinics-and-services/considering-surgery-abroad/","host":"leavale.nhs.uk","quote":"Ensure you receive detailed records of your surgery and aftercare plan","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"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 copies","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":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried 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":"surgery","fields":{"anesthesia":["local"],"back_to_work_days":{"min":1,"max":4,"unit":"days","qualifier":"Desk work resumes in 1-2 days; physical work takes up to 4 days until wound discomfort settles."},"complication_rate_pct":{"min":2,"max":10,"unit":"percent","qualifier":"Any minor complication (bleeding, infection, delayed healing) within 6 weeks; serious ones under 1%"},"contraindications":["Active anal or perianal infection or abscess","Suspected Crohn's disease with active perianal disease","Uncontrolled bleeding disorder or anticoagulation that cannot be paused","Suspected anal cancer or unexplained lesion needing biopsy first","Pregnancy","Severe uncontrolled systemic 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short."},"requirement":"routine"},{"purpose":"result_review","after":{"min":21,"max":35,"unit":"days","qualifier":"Confirms complete healing."},"requirement":"conditional"}],"indications":["Hygiene difficulty from perianal skin tags","Recurrent irritation, itching or soiling","Cosmetic concern","Discomfort when sitting or wiping","Tags persisting after resolved thrombosed hemorrhoid"],"main_risks":["Bleeding","Wound infection","Delayed healing","Pain at the site","Recurrence or new tags","Anal stenosis if excessive tissue removed","Residual skin redundancy"],"pain":"Mild to moderate for 3-7 days; usually controlled with simple oral analgesics, sitz baths and stool softeners.","preparation":["Proctologic exam to exclude hemorrhoids, fissure, fistula or Crohn's","Pause blood thinners only as advised by the treating doctor","Local enema or bowel emptying if instructed","Shave the perianal area if instructed","Start stool softeners if instructed"],"recovery_timeline":[{"phase":"Days 0-3","description":"Mild pain, minor spotting, dressing in place.","restrictions":["Avoid straining","No heavy lifting","Keep area clean and dry"]},{"phase":"Days 4-14","description":"Discomfort fades; sitz baths and hygiene care continue.","restrictions":["Avoid vigorous exercise","Avoid prolonged sitting","No swimming until healed"]},{"phase":"Weeks 2-4","description":"Wound closes fully and normal activity returns.","restrictions":["Gradual return to sport"]}],"rehabilitation_days":{"min":3,"max":7,"unit":"days","qualifier":"Return to ordinary daily function with mild residual discomfort."},"result_longevity":"Removed tags do not regrow in the same spot, but new tags can form, especially with underlying hemorrhoids, fissures or inflammatory bowel disease.","revision_rate_pct":{"min":2,"max":10,"unit":"percent","qualifier":"Repeat excision for residual or new tags within 1-2 years, higher with underlying hemorrhoids or fissure"},"scars":"Small flat linear scar hidden in perianal skin folds; usually barely visible once healed.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single treatment session."},"stages":[{"code":"excision","label":"Excision of skin tags under local anesthesia","after":{"min":0,"max":0,"unit":"days","qualifier":"Same day as consultation or on arrival."}}],"qualifier":"Standalone one-session procedure."},"success":{"metric":"Complete removal of treated skin tags with full wound healing","value":95,"unit":"percent of patients","horizon":"4 weeks","population":"Adults with symptomatic perianal skin tags, no active anorectal disease","evidence_status":"limited"},"techniques":[{"name":"Surgical scissor excision","suits_whom":"Most patients, including multiple or larger tags.","recovery":"Wound heals in 2-4 weeks."},{"name":"Electrocautery or radiofrequency excision","suits_whom":"Small to medium tags needing less bleeding.","recovery":"Healing in 2-3 weeks."},{"name":"Laser excision","suits_whom":"Small tags in patients preferring minimal bleeding.","recovery":"Healing in 2-3 weeks."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":0.25,"max":0.75,"unit":"hours","qualifier":"Depends on number and size of tags."},"initial_assessment_documents":["Colonoscopy report (if available)","Proctology or surgeon examination notes","Relevant medical history, including Crohn's disease","List of blood thinners","Photos of perianal area"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-session procedure; stay 1-3 days including initial check before flying home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask the surgeon about their training and qualifications","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"what training and qualifications they have","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Ask how many procedures like yours the surgeon has performed","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"how many procedures like the one you're having they have done","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Have a consultation with the surgeon who will perform the procedure before deciding","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"Always book a consultation with the person who will do the procedure before making your final decision.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Ask what happens if complications occur","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"what happens if there are complications","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Check whether the clinic or hospital has satisfactory facilities and standards","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C6","text":"Ask about the procedure’s most common complications","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"about the most common complications of the procedure","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The offer uses online group discounts or treatment vouchers","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"treatment vouchers sold online on group discount or voucher sites.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"The surgeon does not provide two consultations before surgery","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"The procedure is offered through a mobile service in a private home or hotel","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"mobile services where procedures are performed in places such as private homes or hotels","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F4","text":"The practitioner only advertises the service on social media","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"practitioners who only advertise on social media","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-12","next_check_at":"2027-02-10"},"take_home":{"status":"ok","items":[{"id":"T1","text":"It documents the procedure performed for the home doctor","document":"operation note","source":{"url":"https://www.leavale.nhs.uk/clinics-and-services/considering-surgery-abroad/","host":"leavale.nhs.uk","quote":"Ensure you receive detailed records of your surgery and aftercare plan","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"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 copies","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":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried 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},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You prefer freezing treatment for a troublesome skin tag","name":"Cryotherapy","source":{"url":"https://www.nhs.uk/conditions/skin-tags/","host":"nhs.uk","quote":"using heat; by freezing them; by cutting them off with a surgical blade or scissors.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":412}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"surgical-scissor-excision","name":"Surgical scissor excision","how_it_works":{"text":"The tag is cut away with surgical scissors","source":{"url":"https://www.nhs.uk/conditions/skin-tags/","host":"nhs.uk","quote":"using heat; by freezing them; by cutting them off with a surgical blade or scissors.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"electrocautery","name":"Electrocautery or radiofrequency excision","how_it_works":{"text":"Electricity burns off the skin tag","source":{"url":"https://www.royalfree.nhs.uk/patients-and-visitors/patient-information-leaflets/lumps-and-lesions-guide-surgery-removal","host":"royalfree.nhs.uk","quote":"Skin tags can either be cut at the stalk that connects them to your skin or sometimes burnt off with electricity (diathermy).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"laser-excision","name":"Laser excision","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"techniques":[{"id":"surgical-scissor-excision","name":"Surgical scissor excision","how_it_works":{"id":"H1","text":"The tag is cut away with surgical scissors","source":{"url":"https://www.nhs.uk/conditions/skin-tags/","host":"nhs.uk","quote":"using heat; by freezing them; by cutting them off with a surgical blade or scissors.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Most patients, including multiple or larger tags.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Wound heals in 2-4 weeks."},{"id":"electrocautery","name":"Electrocautery or radiofrequency excision","how_it_works":{"id":"H1","text":"Electricity burns off the skin tag","source":{"url":"https://www.royalfree.nhs.uk/patients-and-visitors/patient-information-leaflets/lumps-and-lesions-guide-surgery-removal","host":"royalfree.nhs.uk","quote":"Skin tags can either be cut at the stalk that connects them to your skin or sometimes burnt off with electricity (diathermy).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Small to medium tags needing less bleeding.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Healing in 2-3 weeks."},{"id":"laser-excision","name":"Laser excision","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Small tags in patients preferring minimal bleeding.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Healing in 2-3 weeks."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"You prefer freezing treatment for a troublesome skin tag","name":"Cryotherapy","source":{"url":"https://www.nhs.uk/conditions/skin-tags/","host":"nhs.uk","quote":"using heat; by freezing them; by cutting them off with a surgical blade or scissors.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":412}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-11","next_check_at":"2027-02-09"},"travel":{"status":"ok","items":[{"id":"V1","item":"passport_validity","audience":"uk","volatile":true,"text":"The passport must have an expiry date at least 3 months after you plan to leave the Schengen area","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/entry-requirements","host":"gov.uk","quote":"have an ‘expiry date’ at least 3 months after the day you plan to leave the Schengen area (the expiry date does not need to be within 10 years of the date of issue)","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"medicines","audience":"all","volatile":false,"text":"Carry prescription medication in its original packaging, along with your doctor's prescription","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Always carry your prescription medication in original packaging, along with your doctor’s prescription.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V3","item":"prescriptions","audience":"us","volatile":false,"text":"Medications that require a prescription in the United States also require a local doctor's prescription in Spain","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Medications requiring prescriptions in the United States also require a local doctor’s prescription in Spain.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V4","item":"ghic","audience":"uk","volatile":false,"text":"A GHIC or EHIC is needed to get medically necessary state healthcare in Spain","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/health","host":"gov.uk","quote":"To get medically necessary state healthcare in Spain, you need a Global Health Insurance Card ( GHIC ) or a European Health Insurance Card ( EHIC ).","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V5","item":"hospital_payment","audience":"all","volatile":false,"text":"Private hospitals usually require payment or proof of insurance or funds before admitting a patient","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Private hospitals usually require payment or proof insurance or funds before admitting a patient.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V6","item":"emergency_number","audience":"all","volatile":false,"text":"Dial 112 and ask for an ambulance","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/health","host":"gov.uk","quote":"Dial 112 and ask for an ambulance.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2026-12-11","version":1},"other_countries_with_page":["poland","thailand"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":{"status":"missing","reason":"not_collected"},"count":{"status":"missing","reason":"not_collected"},"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":{"status":"missing","reason":"not_collected"},"faq":{"status":"missing","reason":"not_collected"},"h2":[{"text":"How Much Does Perianal Skin Tag Removal Cost in Spain?","kind":"content"},{"text":"Your Benefits and Guarantees with Bookimed","kind":"content"},{"text":"Your personal Bookimed medical coordinator","kind":"content"},{"text":"Perianal Skin Tag Removal Packages in Spain — November 2026","kind":"content"},{"text":"Discover the Best Perianal Skin Tag Removal Clinics in Spain: 1 Verified Option and Prices","kind":"content"},{"text":"Perianal Skin Tag Removal Overview in Spain","kind":"content"},{"text":"Our Doctors","kind":"content"},{"text":"Share this content","kind":"ui"},{"text":"Video Stories from Bookimed Patients","kind":"ui"},{"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":[]}