Medical Park Göztepe offers JCI-accredited Spina Bifida surgery with Prof. Dr. Deniz Balcı. The package may cost around $15,000 USD – covering surgery, 7-day hospitalization, preoperative tests including MRI, medications, and transfers. Patients typically stay 14-17 days in Istanbul for recovery and follow-up. The hospital maintains international safety standards as Turkey's first private cancer center with neurosurgery expertise.
","text_type":"mt_wow_description","best_texts":{"techniques":"Spina bifida surgery","good_fit_for":"Neurosurgical cases","why_its_ranked":"Specializes in neurosurgery with experienced doctors like Prof. Dr. Deniz Balcı. JCI-accredited hospital with comprehensive pre- and post-operative care included in treatment packages."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":94,"alias":"medical-park-hospitals-group","name":"Medical Park Göztepe Hospital Complex","short_description":"Medical Park Göztepe Hospital Complex is Turkey's first privately owned cancer hospital. It is JCI-accredited and treats cancer, dental, and cardiac conditions. Over 150 doctors serve 200,000+ patients annually.
Istinye University Liv Hospital Bahcesehir is a university hospital affiliated with the Liv Hospital Group. Its main specialties are organ transplant, cancer treatment, neurosurgery, and urology. The hospital reports a 91.7% donor organ acceptance rate.
Istinye University Liv Hospital Bahcesehir is a university hospital affiliated with the Liv Hospital Group. Its main specialties are organ transplant, cancer treatment, neurosurgery, and urology. The hospital reports a 91.7% donor organ acceptance rate.
Emsey Hospital's Advanced Spine Surgery Center specializes in complex spinal treatments, including Spina Bifida surgery, with JCI and ISO accreditations ensuring high-quality care.
","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":150,"price_to":0,"currency":"USD","id":33505},"diagnostic":{"id":484,"name":"СT of the spine","alias":"st-of-the-spine"}},{"prices":{"price_from":180,"price_to":0,"currency":"USD","id":33504},"diagnostic":{"id":240,"name":"MRI of the spine cord","alias":"mri-of-the-spine"}}],"reviews":[],"clinic":{"id":1173,"alias":"emsey-hospital","name":"Emsey Hospital","short_description":"Emsey Hospital is a multi-specialty medical center on the Asian side of Istanbul. It is the first hospital to receive the International Health Tourism Authorization Certificate (001) from the Turkish Ministry of Health. The hospital is especially known for orthopedics, spine surgery, bone marrow transplantation, and oncology.
Estophia Hospital is a private clinic in Istanbul with 87 doctors across 28 departments. Orthopedics, urology, aesthetic medicine, and weight loss surgery are its strongest areas.
Estophia Hospital is a private clinic in Istanbul with 87 doctors across 28 departments. Orthopedics, urology, aesthetic medicine, and weight loss surgery are its strongest areas.
Medipol Bahçelievler Hospital, part of the Medipol Health Group, is a JCI-accredited facility with 441 beds and specializes in comprehensive pediatric care, including Spina Bifida surgery. The hospital caters to international patients and is equipped with modern diagnostic tools like PET-CT and SPECT-CT imaging.
Medipol Bahçelievler University Hospital is a JCI-accredited facility and the second-largest hospital in the Medipol Health Group. It treats 600,000 patients each year with a focus on cardiology, oncology, and heart surgery.
Biruni University Hospital is a TEMOS-accredited university hospital with 134 doctors across 70 departments. It opened in 2016 and treats both adults and children. Its core specialties are neurosurgery, cardiology, oncology, and hematology oncology.
Biruni University Hospital is a TEMOS-accredited university hospital with 134 doctors across 70 departments. It opened in 2016 and treats both adults and children. Its core specialties are neurosurgery, cardiology, oncology, and hematology oncology.
Acıbadem Altunizade Hospital is a multidisciplinary hospital on Istanbul's Asian side. It opened in 2017 and occupies a 98,000 m² facility. Its services include neurology, cardiology, oncology, breast health, ophthalmology, spine care, reproductive medicine, obesity and metabolic surgery, and robotic surgery.
","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":1602,"alias":"acibadem","name":"Acibadem Altunizade Clinic","short_description":"Acıbadem Altunizade Hospital is a multidisciplinary hospital on Istanbul's Asian side. It opened in 2017 and occupies a 98,000 m² facility. Its services include neurology, cardiology, oncology, breast health, ophthalmology, spine care, reproductive medicine, obesity and metabolic surgery, and robotic surgery.
","images":[{"base_url":"clinic/616ec7e35aa11","title":"Modern exterior of Acibadem Altunizade Clinic in Istanbul, illuminated at dusk"},{"base_url":"clinic/616ec8d7ea3c0","title":"Modern exterior of Acibadem Altunizade Clinic in Istanbul, Turkey"},{"base_url":"clinic/616ec8e2885db","title":"Modern operating room at Acibadem Altunizade Clinic with advanced surgical equipment"},{"base_url":"clinic/616ec8ec06bcf","title":"Modern waiting room at Acibadem Altunizade Clinic, Istanbul with comfortable seating"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Turkey","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"Istanbul","id":107,"alias":"istanbul"},"address":"Altunizade, Yurtcan Sokağı No:1, 34662 Üsküdar/İstanbul, Турция"},"rating":{"rating":4.4,"google":4.1,"percent_of_satisfied_clients":71},"statistics":{"number_of_reviews":7,"doctors_number":0,"year_foundation":2017},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"International Organization for Standardization","country_code":"CH"},{"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/5d0b4dd6b9a6b.jpeg","name":"LEED Platinum Sertificate for ECO Buildings","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Medistanbul Hospital is a private multi-specialty medical center in Istanbul, Turkey, treating around 90,000 patients each year. Its strongest specialties are orthopedics, oncology, urology, and plastic surgery.
Medistanbul Hospital is a private multi-specialty medical center in Istanbul, Turkey, treating around 90,000 patients each year. Its strongest specialties are orthopedics, oncology, urology, and plastic surgery.
Dr. Kamran Aghayev Neurosurgery Clinic is a single-specialty facility in Istanbul, Turkey. The center focuses on complex brain, spine, and peripheral nerve surgery. It is known for the PURED technique for Thoracic Outlet Syndrome. Dr. Aghayev introduced this posterior decompression method in 2015. The approach uses a small 4 cm incision between the scapula and midline.
Dr. Kamran Aghayev has over 20 years of neurosurgery experience. He completed a Spinal Oncology Fellowship at Moffitt Cancer Center in Florida. The team has treated over 200 patients with the PURED technique. No infections have ever occurred with this procedure. Patients typically stay in the hospital for 2 to 3 days. Most people return to normal life within one month. The clinic offers support in English, Azerbaijani, Russian, and Turkish.
","text_type":"short_description","best_texts":{"techniques":"Surgical repair of meningocele, defect covered with tissue layers or synthetic patch, plastic or reconstructive surgery for cosmetic repair.","good_fit_for":"Pediatric Spina Bifida cases","why_its_ranked":"Specializes in pediatric neurological diseases with advanced surgical techniques. Over 5,000 neurosurgical procedures performed, including complex congenital malformations."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":2925,"alias":"doktor-kamran-agaev","name":"Dr. Kamran Aghayev Neurosurgery Clinic","short_description":"Dr. Kamran Aghayev Neurosurgery Clinic is a single-specialty facility in Istanbul, Turkey. The center focuses on complex brain, spine, and peripheral nerve surgery. It is known for the PURED technique for Thoracic Outlet Syndrome. Dr. Aghayev introduced this posterior decompression method in 2015. The approach uses a small 4 cm incision between the scapula and midline.
Dr. Kamran Aghayev has over 20 years of neurosurgery experience. He completed a Spinal Oncology Fellowship at Moffitt Cancer Center in Florida. The team has treated over 200 patients with the PURED technique. No infections have ever occurred with this procedure. Patients typically stay in the hospital for 2 to 3 days. Most people return to normal life within one month. The clinic offers support in English, Azerbaijani, Russian, and Turkish.
","images":[{"base_url":"clinic/6a7183d1bdc80","title":"Neurosurgeon at Dr. Kamran Aghayev Neurosurgery Clinic explaining brain anatomy models"},{"base_url":"clinic/6a7183d370202","title":"3D spinal scan showing severe scoliosis at Dr. Kamran Aghayev Neurosurgery Clinic"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Turkey","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"Istanbul","id":107,"alias":"istanbul"},"address":"Selenium Retro 9, Block A, Floor 13, Office No. 101, Bakırköy, Istanbul, Turkey"},"rating":{"rating":5,"google":0,"percent_of_satisfied_clients":98},"statistics":{"number_of_reviews":1,"doctors_number":2},"accreditations":[],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Academic Hospital is a TÜV NORD-certified private medical center in Istanbul with 60 specialist departments. It is best known for orthopedics, plastic surgery, weight loss surgery, and medical check-ups. The hospital treats over 15,000 patients each year, both adults and children.
Academic Hospital is a TÜV NORD-certified private medical center in Istanbul with 60 specialist departments. It is best known for orthopedics, plastic surgery, weight loss surgery, and medical check-ups. The hospital treats over 15,000 patients each year, both adults and children.
Dr. Gokalp Silav has performed 1,000+ neurosurgeries and brings over 25 years of experience. Dr. Silav specializes in congenital spine conditions. The personal program may cost around $15,900 and includes consultation, diagnostics, surgery, and intraoperative neuromonitoring. It also includes five hospital days. Microsurgical repair uses Brainlab neuronavigation, and Memorial Sisli Hospital is JCI-accredited.
Memorial Şişli Hospital in Istanbul is one of Turkey’s leading multidisciplinary medical centers, operating on a 53,000 m² area with 252 beds, 13 operating rooms, and advanced intensive care units. Opened in 2000, it became the first hospital in Turkey and the 21st worldwide to earn Joint Commission International (JCI) accreditation, confirming world-class standards.
\n\nThe hospital is recognized for its expertise in oncology, organ and bone marrow transplantation (90% organ transplant success rate), IVF, neurosurgery, bariatric surgery, robotic surgery, and genetics. Equipped with cutting-edge technology and specialized centers, Memorial Şişli attracts patients from 167 countries each year, combining top-level medical care with Istanbul’s unique cultural and travel opportunities.
\n","images":[{"base_url":"clinic/634ffae9b76cd","title":"Memorial Şişli Hospital modern clinic building in Istanbul, Turkey"},{"base_url":"clinic/5ba3aa9d874b8","title":"Patient room at Memorial Şişli Hospital, Istanbul with modern furnishings and TV"},{"base_url":"clinic/5ba3aa9ebbdf9","title":"Patient room and lounge area at Memorial Şişli Hospital, Istanbul"},{"base_url":"clinic/634ffa7dd8799","title":"Reception desk at Memorial Şişli Hospital with modern decor in Istanbul"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Turkey","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"Istanbul","id":107,"alias":"istanbul"},"address":"Kaptan Paşa Mah, Halit Ziya Türkkan Sok Famas Plaza No:19 D:C, 34385 Şişli/İstanbul, Turkey"},"rating":{"rating":4.6,"google":4.7,"percent_of_satisfied_clients":87},"statistics":{"number_of_reviews":437,"doctors_number":189,"year_foundation":2000},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"International Organization for Standardization","country_code":"CH"},{"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"}]}}},{"card":{"text":"Dr. Ertuğrul Pınar has performed 900+ neurosurgical procedures over _doctor_9704_years_, specializing in spinal conditions. The JCI-accredited clinic offers Spina Bifida surgery for around $15,760 – typically covering the operation, implants, 4-day hospital stay, and VIP transfers. The procedure includes intraoperative neuromonitoring and uses specialized laminar prostheses. Dr. Pınar trained in neurosurgery and focuses on preventing neurological complications.
Hisar Hospital Intercontinental is a JCI-accredited multi-specialty hospital in Istanbul. It treats 250,000 patients each year. Its core specialties are oncology, hematology, cardiovascular surgery, orthopedics, and bariatric surgery.
Emsey Hospital is a multi-specialty medical center on the Asian side of Istanbul. It is the first hospital to receive the International Health Tourism Authorization Certificate (001) from the Turkish Ministry of Health. The hospital is especially known for orthopedics, spine surgery, bone marrow transplantation, and oncology.
Assoc. Prof. Erkam Komurcu specializes in orthopedic surgery with a focus on spinal conditions, including spina bifida, at Estophia Hospital.
Dr. Erkam Komurcu is an orthopedic surgeon at Estophia Hospital in Istanbul. He is board-certified by the Turkish Society of Orthopedics and Traumatology (TOTEK). Dr. Komurcu earned the title of Associate Professor and completed a fellowship at the UCLA Spine Center. He specializes in spine surgery, sports injuries, and musculoskeletal tumors.
Estophia Hospital is a private clinic in Istanbul with 87 doctors across 28 departments. Orthopedics, urology, aesthetic medicine, and weight loss surgery are its strongest areas.
Dr. Hakan Ozalp specializes in neurosurgery with training from Ankara University Faculty of Medicine.
Dr. Hakan Ozalp is a neurosurgeon at Medipol Bahçelievler University Hospital in Istanbul. He specializes in vascular and spine neurosurgery. Dr. Ozalp completed a clinical fellowship at the University of Insubria in Italy. He previously served as a lecturer at Mersin University Faculty of Medicine.
Medipol Bahçelievler University Hospital is a JCI-accredited facility and the second-largest hospital in the Medipol Health Group. It treats 600,000 patients each year with a focus on cardiology, oncology, and heart surgery.
Dr. Osman Civil is a general surgeon at Medipol Bahçelievler University Hospital in Istanbul. He specializes in gastrointestinal, colorectal, and breast cancer surgery. Dr. Civil completed his surgical training at the Kartal Dr. Lütfi Kirdar Training and Research Hospital. He works at a JCI-accredited facility that treats 600,000 patients every year.
Medipol Bahçelievler University Hospital is a JCI-accredited facility and the second-largest hospital in the Medipol Health Group. It treats 600,000 patients each year with a focus on cardiology, oncology, and heart surgery.
Dr. Ertuğrul Pınar has performed 900+ neurosurgical procedures over _doctor_9704_years_, specializing in spinal conditions. The JCI-accredited clinic offers Spina Bifida surgery for around $15,760 – typically covering the operation, implants, 4-day hospital stay, and VIP transfers. The procedure includes intraoperative neuromonitoring and uses specialized laminar prostheses. Dr. Pınar trained in neurosurgery and focuses on preventing neurological complications.
Dr. Ertugrul Pinar is a neurosurgeon at Hisar Hospital Intercontinental in Istanbul. He treats adult and pediatric patients with complex brain and spine diseases. Dr. Pinar focuses on brain tumors, vascular aneurysms, and skull base pathologies. He works at a JCI-accredited hospital that serves over 500,000 patients annually.
Hisar Hospital Intercontinental is a JCI-accredited multi-specialty hospital in Istanbul. It treats 250,000 patients each year. Its core specialties are oncology, hematology, cardiovascular surgery, orthopedics, and bariatric surgery.
This surgery involves fixing a baby\"s spine in the womb to lessen disability before birth and improve mobility.
"},"845":{"operation":{"name":"Spina Bifida surgery","alias":"spina-bifid-surgery","use_for_listing":true},"country_price":{"US":{"amount":45000,"max_amount":85000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":8900,"max_amount":11000,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":9500,"max_amount":18500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":14500,"max_amount":24500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":36100,"max_amount":38700,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"UA":false,"FR":false,"GB":false,"US":false,"IL":false,"TR":true,"MX":false,"DE":false,"CA":false,"AE":false,"TH":false,"PL":false,"KR":false,"CZ":false,"AT":false,"ES":true,"IT":true,"CN":false,"AU":false,"IN":false,"MY":false,"VN":false,"BR":false},"description":"The operation corrects spinal defects at birth, protecting nerves during a delicate process, thus improving quality of life.
"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":7,"days_in_country":14,"rehabilitation_days":30,"satisfied_percent":78,"treatment_duration_hours":4},"illness_kind_details":{"requests_processed":272}},"direction":{"id":55,"name":"Spinal Surgery","alias":"spinal-surgery"},"illness_kind":{"id":55,"name":{"en":"Spinal Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":14,"max":84,"unit":"days","qualifier":"Desk work often within 2–4 weeks; physically demanding jobs usually need 6–12 weeks."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"CSF leak, wound infection or transient neurological worsening."},"contraindications":["Medical instability precluding general anesthesia","Active infection at the surgical site or meningitis","Uncorrected bleeding disorder or unmanaged anticoagulation","Severe irreversible deficit where surgery offers no expected benefit"],"days_in_clinic":{"min":2,"max":4,"unit":"nights","qualifier":"Uncomplicated adult untethering; longer if CSF leak or wound problems occur."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Gradual return; avoid heavy lifting and high-impact activity until surgeon clears."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Neurological, bladder and pain improvement may continue over this period."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"After wound check at about 10–14 days; no CSF leak."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":10,"max":14,"unit":"days","qualifier":"Wound review and suture removal at about two weeks."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":120,"unit":"days","qualifier":"Neurological, bladder and bowel review; MRI if symptoms persist or recur."}}],"indications":["Symptomatic tethered spinal cord from occult spinal dysraphism","Progressive back or leg pain attributed to cord tethering","Bladder, bowel or sexual dysfunction linked to tethering","Lipomyelomeningocele or tight filum with neurological symptoms"],"main_risks":["Cerebrospinal fluid leak or pseudomeningocele","Wound infection or meningitis","New or worsening leg weakness, numbness or pain","Worsening bladder, bowel or sexual dysfunction","Retethering requiring reoperation","Anesthetic risks"],"pain":"Moderate incisional pain, controlled with oral analgesics; usually eases within 1–2 weeks.","preparation":["Spine MRI review and neurological examination","Urodynamic testing if bladder symptoms are present","Stop blood thinners and aspirin as instructed","Fasting per anesthesia protocol","Smoking cessation advised before surgery"],"recovery_timeline":[{"phase":"Hospital stay (about 2–4 days)","description":"Pain control, early walking and monitoring of wound, bladder and leg function.","restrictions":["No heavy lifting","Avoid bending and twisting","Follow surgeon's activity instructions"]},{"phase":"Early recovery (weeks 1–6)","description":"Wound healing; desk work may resume; gradual increase in walking.","restrictions":["No driving until cleared","No heavy lifting or strenuous exercise","No swimming until wound is healed"]},{"phase":"Late recovery (months 2–6)","description":"Gradual return to exercise and physical work; neurological recovery continues.","restrictions":["Avoid high-impact activity until cleared"]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Outpatient physiotherapy usually 2–6 weeks; longer with significant deficits."},"result_longevity":"Release is usually durable, but retethering can occur years later; existing deficits may persist.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Repeat untethering or leak repair; retethering risk can increase over years."},"scars":"A midline back scar over the lesion site is expected.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One operation; further surgery only for retethering or complications."},"stages":[{"code":"cord_untethering","label":"Microsurgical release of the tethered spinal cord","after":{"min":0,"max":0,"unit":"days","qualifier":"Single operation; no preceding stage required."}}],"qualifier":"Single-stage procedure."},"success":{"metric":"Symptom stabilization or improvement","value":70,"unit":"percent of patients","horizon":"2 years after surgery","population":"Adults with symptomatic tethered cord undergoing untethering","evidence_status":"limited"},"techniques":[{"name":"Microsurgical cord untethering with filum sectioning","suits_whom":"Adults with tight filum terminale and tethered cord symptoms","recovery":"Hospital stay about 2–4 days; walking usually started early."},{"name":"Lipoma-associated untethering with partial fat debulking","suits_whom":"Adults with lipomyelomeningocele and tethered cord","recovery":"Similar hospital stay; longer recovery after extensive fat dissection."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Typical microsurgical untethering; longer with lipoma resection or extensive dissection."},"initial_assessment_documents":["Spine MRI report and images","Urodynamic study report, if performed","Neurological examination and bladder function notes","Prior spine surgery records, if any","Photos of lower back skin marks, if present"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single operation; second trip only for complications or review."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the facility’s accreditation and patient-safety record","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/travelers-with-additional-considerations/travelers-with-chronic-illnesses.html","host":"cdc.gov","quote":"Counsel travelers, if necessary, to investigate international healthcare accreditation agencies to identify healthcare facilities at the travel destination that have received recognition or accreditation for high care standards and good patient safety records.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"C2","text":"Check how complications will be addressed with the operating healthcare professional","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 discuss the plan for addressing complications related to the treatment or procedure with both their U.S. healthcare professional and the healthcare professional performing the treatment or procedure outside the United States.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"C3","text":"Confirm a specialist team will explain treatment options and risks before surgery","scope":"procedure","source":{"url":"https://www.nhs.uk/conditions/spina-bifida/","host":"nhs.uk","quote":"A specialist team will talk to you about the treatment options for your baby, including any risks.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","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}},{"id":"C5","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The clinic cannot explain how treatment complications will be addressed","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 discuss the plan for addressing complications related to the treatment or procedure with both their U.S. healthcare professional and the healthcare professional performing the treatment or procedure outside the United States.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"F2","text":"The offer does not identify a quality healthcare professional or facility before treatment","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/what-to-do-when-sick-abroad.html","host":"cdc.gov","quote":"Identify quality healthcare professionals and facilities at destination, prior to traveling.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"F3","text":"No specialist team explains treatment options and risks before surgery","scope":"procedure","source":{"url":"https://www.nhs.uk/conditions/spina-bifida/","host":"nhs.uk","quote":"A specialist team will talk to you about the treatment options for your baby, including any risks.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-13","next_check_at":"2027-02-11"},"take_home":{"status":"ok","items":[{"id":"T1","text":"The home doctor needs details of all care received abroad for subsequent care","document":"medical-care documentation","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/what-to-do-when-sick-abroad.html","host":"cdc.gov","quote":"Request documentation of any medical care received abroad, including medications, and share with healthcare professionals delivering subsequent care while traveling and at home.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"T2","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure 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