Mali Interdisciplinary Hospital holds dual international accreditation from GHA and AACI, treating 50,000 patients annually. Hemorrhoidectomy procedures here are performed under general anesthesia for patient comfort. The clinical process typically lasts up to two hours and includes a one-night hospital stay for close monitoring. This integrative center combines conventional surgery with a restorative environment to help recovery. The medical team provides detailed pre-surgery instructions and follow-up care to support safe healing in their specialized Bangkok facility.
","text_type":"mt_wow_description","best_texts":{"why_its_ranked":"Accredited by GHA and AACI – dual international quality standards. Hemorrhoidectomy uses general anesthesia for patient comfort throughout the procedure."},"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":3850,"price_to":3850,"currency":"USD","id":59352},"operation":{"id":310,"name":"Hemorrhoidectomy","alias":"hemorrhoidectomy"}},{"prices":{"price_from":400,"price_to":400,"currency":"USD","id":62794},"diagnostic":{"id":372,"name":"CT of the chest","alias":"ct-of-the-chest"}},{"prices":{"price_from":300,"price_to":300,"currency":"USD","id":62970},"diagnostic":{"id":107,"name":"Consultation with a surgeon","alias":"surgical-consultation"}}],"reviews":[],"clinic":{"id":7583,"alias":"mali-hospital","name":"Mali Interdisciplinary Hospital","short_description":"Mali Interdisciplinary Hospital is an integrative medical center in Bangkok with GHA and AACI accreditations. It treats 50,000 patients yearly across 14 departments. The hospital blends conventional care with regenerative medicine and precision medicine for chronic disease management.
PMG Hospital provides specialized surgical care in Bangkok with over 30 years of medical service history. The facility offers both conventional and stapled hemorrhoidectomy options to suit different patient needs. This 100+ bed hospital holds Global Healthcare Accreditation (GHA) for international patient services. The team assists with visa needs, translation, and airport transfers to help international patients. The clinic follows recognized safety standards under Thailand's Hospital Accreditation (HA) framework for all surgical procedures.
","text_type":"mt_wow_description","best_texts":{"techniques":"Stapled hemorrhoidectomy","why_its_ranked":"Patients can choose between conventional and stapled hemorrhoidectomy, and the hospital has Global Healthcare Accreditation (GHA) for international patient services."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":500,"price_to":500,"currency":"USD","id":59463},"diagnostic":{"id":372,"name":"CT of the chest","alias":"ct-of-the-chest"}},{"prices":{"price_from":740,"price_to":740,"currency":"USD","id":62952},"diagnostic":{"id":247,"name":"Abdominal CT Scan","alias":"abdominal-ct-scan"}}],"reviews":[],"clinic":{"id":7547,"alias":"pmg-hospital","name":"PMG Hospital","short_description":"PMG Hospital is a private multispecialty facility in Bangkok, Thailand. It focuses on cardiology, orthopedics, and pediatrics. The hospital also offers obstetrics, gynecology, and rehabilitation. Pediatric services treat children from birth to age 15. A 24-hour critical care center provides intensive monitoring by specialist physicians.
PMG Hospital opened in 1992 and has 109 beds. There are 36 patient rooms, including private VIP suites. The PMG Heart Center offers full-cycle cardiac care. This covers diagnostics, interventional treatments, and rehabilitation. For stroke recovery, the rehab team uses PMS electromagnetic stimulation, therapeutic exercises, and electrical appliances.
International patients get help with medical visa extensions, translation, and airport transfers. Diagnostics rely on digital radiography and CT scanners. Cardiovascular screening includes carotid intima-media thickness ultrasound. This test detects heart disease risk without radiation.
","images":[{"base_url":"clinic/6a7d3106271d0","title":"PMG Hospital exterior building in Thailand with emergency services signage"},{"base_url":"clinic/6a7d3143aa5eb","title":"Modern operating room with advanced medical equipment at PMG Hospital"},{"base_url":"clinic/6a7d332b95d9b","title":"Reception desk at PMG Hospital with logo and modern decor"},{"base_url":"clinic/6ab32c4a1ca0b","title":"Private patient room at PMG Hospital with modern amenities and hospital bed"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Thailand","id":45,"alias":"thailand","iso_code":"TH"},"city":{"name":"Bangkok","id":75,"alias":"bangkok"},"address":"280 Rama II Rd, Samae Dam, Bang Khun Thian, Bangkok 10150, Thailand"},"rating":{"rating":5,"google":4.6,"percent_of_satisfied_clients":98},"statistics":{"number_of_reviews":1,"doctors_number":8,"year_foundation":1992},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d10bad3836ab.jpeg","name":"Global Healthcare Accreditation Program","country_code":"US"},{"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":"Bumrungrad International Hospital is a JCI-accredited facility treating over 1 million patients annually from 190+ countries. Hemorrhoidectomy procedures typically cost between $2,900–$3,600. The hospital operates one of Southeast Asia's largest private centers with dedicated surgical suites.
","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":40,"price_to":85,"currency":"USD","id":15688},"diagnostic":{"id":477,"name":"Consultation with an interventional radiologist","alias":"consultation-with-an-interventional-radiologist"}},{"prices":{"price_from":65,"price_to":65,"currency":"USD","id":15703},"diagnostic":{"id":67,"name":"Consultation with a proctologist","alias":"consultation-of-a-procologist"}}],"reviews":[],"clinic":{"id":250,"alias":"bumrungrad-international-hospital","name":"Bumrungrad International Hospital","short_description":"Bumrungrad International Hospital is one of Southeast Asia's largest private medical centers. Over one million patients choose it each year, including a 50% international mix from 190+ countries. Its core specialties include oncology, cardiology, orthopedics, ophthalmology, neurosciences, and health screenings.
Sikarin Hospital is a JCI and ISO-accredited hospital in Bangkok serving over 255,000 patients each year. It specializes in plastic surgery, orthopedics, gastroenterology, and cardiovascular surgery. Since 1993, its 17 specialized centers treat about 700 patients daily.
Sikarin Hospital is a JCI and ISO-accredited hospital in Bangkok serving over 255,000 patients each year. It specializes in plastic surgery, orthopedics, gastroenterology, and cardiovascular surgery. Since 1993, its 17 specialized centers treat about 700 patients daily.
Samitivej Thonburi Hospital provides high-quality Hemorrhoidectomy services, with procedures typically costing around $3,950. The JCI-accredited hospital features advanced medical technology and a team of specialized surgeons.
","text_type":"mt_wow_description","procedure_prices":[{"prices":{"price_from":3000,"price_to":5000,"currency":"USD","id":25955},"operation":{"id":310,"name":"Hemorrhoidectomy","alias":"hemorrhoidectomy"}}],"reviews":[],"clinic":{"id":675,"alias":"samitivej-hospitals-samitivej-hospital-samitivej-hospitals-part-of-bdms-ai","name":"Samitivej Hospitals","short_description":"Samitivej Hospitals is a JCI-accredited multispecialty group in Bangkok, Thailand. The hospital provides primary and tertiary care for adults and children. It runs 8 facilities with over 4,000 beds. Founded in 1979, the group now treats more than one million patients each year. Foreign patients make up about 40% of that volume. The medical team includes over 2,100 doctors across complex surgical fields.
The pediatric oncology unit reports a 92% one-year survival rate for stem cell transplants. Gastroenterology shows a 0% perforation rate during colonoscopies. Surgeons use AI and narrow-band imaging for early cancer detection. International patients get support from interpreters in Arabic, Chinese, Japanese, and Korean.
","images":[{"base_url":"clinic/6aaca33d25c3b","title":"Samitivej Hospital exterior with palm trees and main entrance in Bangkok"},{"base_url":"clinic/6aaca34028ffa","title":"Samitivej Hospital Bangkok modern clinic building exterior with palm trees"},{"base_url":"clinic/6aaca3429074b","title":"Spacious waiting room at Samitivej Hospitals with modern seating and natural light"},{"base_url":"clinic/6aaca3441621e","title":"Dental treatment room at Samitivej Hospitals with modern equipment and green walls"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Thailand","id":45,"alias":"thailand","iso_code":"TH"},"city":{"name":"Bangkok","id":75,"alias":"bangkok"},"address":"133 Sukhumvit 49, Wattana, Bangkok, Thailand 10110"},"rating":{"rating":0,"google":0,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":2105,"year_foundation":1979},"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/5d88caba297f8.jpeg","name":"Fellow, American College of Surgeons","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/61779fac22b09.jpeg","name":"Given to the doctor International Society of Aesthetic Plastic Surgery (ISAPS) Сertificate ","country_code":"US"}]}},{"text":"Bangpakok 9 International Hospital is JCI-accredited and specializes in surgical procedures, including hemorrhoidectomy. The procedure typically costs around $2,960. The hospital serves international patients with a focus on quality care across various specialties.
","text_type":"mt_wow_description","procedure_prices":[{"prices":{"price_from":1500,"price_to":3000,"currency":"USD","id":26603},"operation":{"id":310,"name":"Hemorrhoidectomy","alias":"hemorrhoidectomy"}}],"reviews":[],"clinic":{"id":717,"alias":"bangpakok-9-international-hospital","name":"Bangpakok 9 International Hospital","short_description":"Bangpakok 9 International Hospital is a JCI-accredited hospital in Bangkok, Thailand. Its strongest specialties are ophthalmology, spinal surgery, and neurosurgery. The hospital treats patients from the US, Canada, the UK, and other countries.
Dr Prasert Sujiipinyo brings _doctor_8864_years_ of specialized experience with 900+ hemorrhoidectomy procedures performed. The procedure may cost around 150,000 THB, typically covering surgery, 2-3 nights hospital stay, and nursing care. Intrarat Hospital is ISO 9001:2015 certified with a 98% patient recommendation rate. Dr Prasert trained at Chiang Mai University and holds a Certificate of General Surgery from Rajavithi Hospital.
Intrarat Hospital is an ISO 9001:2015-certified hospital in Bangkok. It treats 100,000 patients each year across its main specialties. The hospital focuses on orthopedics, internal medicine, cardiology, and pediatrics.
Dr. Thanaphat Pomyukon is a gastrointestinal and general surgeon at Mali Interdisciplinary Hospital in Bangkok. He earned his medical degree from the prestigious Chulalongkorn University. Dr. Pomyukon holds a Thai Board Diploma in General Surgery from Roi Et Hospital. He treats digestive system diseases, breast lumps, and gallstones.
Mali Interdisciplinary Hospital is an integrative medical center in Bangkok with GHA and AACI accreditations. It treats 50,000 patients yearly across 14 departments. The hospital blends conventional care with regenerative medicine and precision medicine for chronic disease management.
Dr. Prasert Sujiipinyo is a general surgeon at Intrarat Hospital in Bangkok. He specializes in surgical procedures for the gastrointestinal tract, liver, and endocrine system. Dr. Sujiipinyo earned his medical degree from Chiang Mai University. He holds a Certificate of General Surgery from Rajavithi Hospital.
Intrarat Hospital is an ISO 9001:2015-certified hospital in Bangkok. It treats 100,000 patients each year across its main specialties. The hospital focuses on orthopedics, internal medicine, cardiology, and pediatrics.
Dr. Serttikul has over _doctor_11145_years_ of surgical experience, specializing in hemorrhoidectomy and other gastrointestinal procedures at Inthrarat Hospital.
Dr. Puttapong Serttikul is a general surgeon at Intrarat Hospital in Bangkok. He specializes in gastrointestinal endoscopy and laparoscopic colorectal surgery. Dr. Serttikul is an active member of the NHSO Region 4 Audit Committee. He earned his medical degree from Chulalongkorn University.
Intrarat Hospital is an ISO 9001:2015-certified hospital in Bangkok. It treats 100,000 patients each year across its main specialties. The hospital focuses on orthopedics, internal medicine, cardiology, and pediatrics.
This operation removes hemorrhoids, providing relief from pain and bleeding by surgically excising them.
"},"748":{"operation":{"name":"Stapled Haemorrhoidectomy","alias":"stapled-haemorrhoidectomy","use_for_listing":true},"country_price":{"US":{"amount":7500,"max_amount":13500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":1500,"max_amount":3600,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":3000,"max_amount":3400,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"AT":{"amount":4300,"max_amount":6500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":true,"AT":false},"description":"This operation treats haemorrhoids by removing them painlessly with less bleeding and quicker recovery.
"},"755":{"operation":{"name":"Rubber band ligation of hemorrhoids","alias":"rubber-band-ligation-of-hemorrhoids","use_for_listing":true},"country_price":{"US":{"amount":1100,"max_amount":1800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3600,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"offer","scope":"country"},"TH":{"amount":650,"max_amount":1100,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":650,"max_amount":1300,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false},"description":"The procedure involves tying off hemorrhoids with rubber bands to reduce discomfort and promote healing.
"},"1543":{"operation":{"name":"Fissure Therapy","alias":"fissure-therapy","use_for_listing":false},"country_price":{"US":{"amount":3500,"max_amount":7000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":2800,"max_amount":4500,"currency":"USD","clinic_count":5,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":1100,"max_amount":1900,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":2200,"max_amount":4000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false}},"1549":{"operation":{"name":"Hemorrhoid Therapy","alias":"hemorrhoid-therapy","use_for_listing":true},"country_price":{"US":{"amount":3500,"max_amount":7500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3600,"max_amount":0,"currency":"USD","clinic_count":2,"price_kind":"from","price_source":"mixed","scope":"country"},"TH":{"amount":1500,"max_amount":3200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":1800,"max_amount":3500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false}},"1717":{"operation":{"name":"Perianal Skin Tag Removal","alias":"perianal-skin-tag-removal","use_for_listing":true},"country_price":{"US":{"amount":900,"max_amount":2400,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":350,"max_amount":850,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":450,"max_amount":750,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":550,"max_amount":1400,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":false,"TH":false,"AT":false}}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":1,"days_in_country":7,"rehabilitation_days":14,"satisfied_percent":78,"treatment_duration_hours":1},"illness_kind_details":{"requests_processed":7852}},"responsibleDoctor":{"id":619,"alias":"abduelcabbar-kartal","name":"Abdulcabbar Kartal","photo":"doctor/620a4b22b682d","advisory_text":"Assoc. Prof. Dr. Abdulcabbar Kartal is a colorectal and general surgeon specializing in HIPEC and bariatric surgery. He is certified by the European Society of Coloproctology (FEBS-C) and has performed over 500 bariatric surgeries.","linkedin":"","specialities":[{"id":"sur.006","name":"Colorectal surgeon","illness_kind_id":33},{"id":"sur.010","name":"General surgeon","illness_kind_id":33}]},"direction":{"id":33,"name":"Surgery","alias":"surgery"},"illness_kind":{"id":33,"name":{"en":"Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":7,"max":21,"unit":"days","qualifier":"Desk-based work after conventional excisional hemorrhoidectomy; manual work may need longer."},"complication_rate_pct":{"min":1,"max":5,"unit":"percent","qualifier":"Major events: secondary hemorrhage needing readmission, transfusion or reoperation, abscess or sepsis, symptomatic stenosis. Excludes minor events. Grade III–IV hemorrhoids."},"contraindications":["Uncontrolled bleeding disorder or unmanageable therapeutic anticoagulation","Active anorectal sepsis or severe perianal infection (relative)","Severe uncontrolled cardiopulmonary disease making anesthesia unsafe","Active severe inflammatory bowel disease with anorectal involvement (relative)","Anorectal malignancy requiring different management","Pregnancy (relative; usually managed conservatively)","Poor baseline continence (relative precaution)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Typically day surgery or one night of observation for conventional excisional hemorrhoidectomy."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Walking earlier; strenuous exercise and heavy lifting after 2–4 weeks."},"final_result_months":{"min":1,"max":2,"unit":"months","qualifier":"Complete wound healing and resolution of swelling after conventional hemorrhoidectomy."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"Delayed bleeding peaks around days 5–14. Fly after the 7–14 day check, once sitting is comfortable."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"First postoperative review, typically 1–2 weeks after surgery."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":60,"unit":"days","qualifier":"Final review of healing, bowel function and symptoms."}}],"indications":["Symptomatic grade III–IV internal hemorrhoids","Grade II hemorrhoids failing conservative or office-based treatment","Combined internal and external hemorrhoids with prolapse","Thrombosed or strangulated hemorrhoids in selected cases","Recurrent bleeding causing anemia"],"main_risks":["Significant postoperative pain","Urinary retention","Bleeding, including delayed bleeding","Infection or abscess","Constipation or fecal impaction","Anal stenosis","Temporary or permanent incontinence (flatus/stool/soiling)","Skin tags or recurrence","Anesthesia-related risks"],"pain":"Moderate to severe pain for the first several days, especially with bowel movements, gradually improving over 1–2 weeks; managed with multimodal analgesia, stool softeners and sitz baths.","preparation":["Surgical and anorectal assessment, sometimes colonoscopy by age and symptoms","Routine anesthesia assessment and blood tests as indicated","Review of medicines with the surgical team","Fasting before general anesthesia as instructed","Rectal enema or bowel preparation as advised","Arrange transport and adult support after discharge","Dietary fiber and stool softening plan"],"recovery_timeline":[{"phase":"First 48 hours","description":"Recovery from anesthesia, pain control, first bowel movement management, and monitoring for urinary retention and bleeding.","restrictions":["No driving","Avoid straining","Rest"]},{"phase":"Days 3–14","description":"Pain and discharge gradually decrease; sitz baths, fiber and stool softeners continue; light activity resumes and desk work often starts around day 7–14.","restrictions":["Avoid heavy lifting","Avoid prolonged sitting or straining"]},{"phase":"Weeks 2–4","description":"Most return to normal daily activity; mild bleeding or discharge may continue.","restrictions":["Avoid strenuous exercise until cleared"]},{"phase":"Weeks 4–8","description":"Wounds heal fully and bowel habits normalize.","restrictions":[]}],"rehabilitation_days":{"min":5,"max":14,"unit":"days","qualifier":"Time to ordinary activities. Median about 6 days in outpatient series; conventional surgery 1–2 weeks. Energy devices may shorten."},"result_longevity":"Excised hemorrhoids do not regrow, and long-term results are usually durable, though new hemorrhoidal disease can develop, particularly with constipation or straining.","revision_rate_pct":{"min":1,"max":5,"unit":"percent","qualifier":"Repeat surgery for recurrent prolapse, symptoms or stenosis, over about 1–5 years. Symptomatic recurrence is higher (about 5–20%), mostly non-surgical."},"scars":"Healing wounds at the anal canal and perianal skin leave minimal visible scars; small skin tags may remain.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operative session."},"stages":[{"code":"hemorrhoidectomy","label":"Excisional hemorrhoidectomy under anesthesia","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"One operation; follow-up checks are not counted as treatment sessions."},"success":{"metric":"Resolution of bleeding and prolapse symptoms","value":90,"unit":"percent","horizon":"1 year","population":"Adults after excisional hemorrhoidectomy for grade III–IV hemorrhoids","evidence_status":"limited"},"techniques":[{"name":"Conventional excisional hemorrhoidectomy (Milligan-Morgan open / Ferguson closed)","suits_whom":"Grade III–IV or mixed internal-external hemorrhoids","recovery":"Most early pain; usually 1–2 weeks to ordinary activities"},{"name":"Vessel-sealing device hemorrhoidectomy (LigaSure/harmonic)","suits_whom":"Grade III–IV or mixed internal-external hemorrhoids","recovery":"Often slightly less early pain and shorter operating time"}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":0.5,"max":1,"unit":"hours","qualifier":"Operating time for one conventional hemorrhoidectomy, excluding anesthesia and recovery."},"initial_assessment_documents":["Colonoscopy or sigmoidoscopy report","Proctology or colorectal clinic consultation notes","List of blood thinners","Recent blood test results","Previous anorectal surgery reports (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single operation; stay about 7-14 days until wound check and safe flying. Later reviews can be remote or local."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask the surgeon to explain the risks and benefits and to obtain your informed consent before surgery","scope":"procedure","source":{"url":"https://my.clevelandclinic.org/health/procedures/hemorrhoidectomy","host":"my.clevelandclinic.org","quote":"Your surgeon will discuss the risks and benefits of the procedure and obtain your informed consent.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check that a follow-up appointment is booked a few weeks after the operation","scope":"procedure","source":{"url":"https://my.clevelandclinic.org/health/procedures/hemorrhoidectomy","host":"my.clevelandclinic.org","quote":"Schedule a follow-up appointment with your provider a few weeks after your hemorrhoidectomy.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check the qualifications of the clinician who will perform the operation","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Ask whether follow-up care is scheduled at the same facility as the operation","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C5","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Offers that seem too good to be true are a warning sign in holiday surgery marketing","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/tourism","host":"plasticsurgery.org","quote":"Just be weary of any deal that seems too good to be true.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"Surgery offered with no consultation with the treating surgeon before the operation","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Severe pain or bleeding","urgency":"contact_clinic","general":false,"source":{"url":"https://www.mayoclinic.org/diseases-conditions/hemorrhoids/diagnosis-treatment/drc-20360280","host":"mayoclinic.org","quote":"Contact a health professional sooner if you have severe pain or bleeding.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"W2","text":"Difficulty urinating","urgency":"contact_clinic","general":false,"source":{"url":"https://www.mayoclinic.org/diseases-conditions/hemorrhoids/diagnosis-treatment/drc-20360280","host":"mayoclinic.org","quote":"Complications can include having a hard time urinating, which can lead to urinary tract infections.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"W3","text":"Large amounts of rectal bleeding","urgency":"emergency","general":false,"source":{"url":"https://www.mayoclinic.org/diseases-conditions/hemorrhoids/symptoms-causes/syc-20360268","host":"mayoclinic.org","quote":"Seek emergency care if you have large amounts of rectal bleeding, lightheadedness, dizziness or faintness.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"W4","text":"Lightheadedness, dizziness or faintness","urgency":"emergency","general":false,"source":{"url":"https://www.mayoclinic.org/diseases-conditions/hemorrhoids/symptoms-causes/syc-20360268","host":"mayoclinic.org","quote":"Seek emergency care if you have large amounts of rectal bleeding, lightheadedness, dizziness or faintness.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"They specify activities to avoid while the wound heals","document":"activity restrictions","source":{"url":"https://www.royalfree.nhs.uk/patients-and-visitors/patient-information-leaflets/having-a-haemorrhoidectomy","host":"royalfree.nhs.uk","quote":"Avoid heavy lifting or strenuous exercise such as fast running, 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