Dievo Surgery Center is a private multispecialty clinic in Kyiv with European Board of Urology accreditation. It focuses on urology, surgery, proctology, and plastic surgery. Over 4,000 patients from Europe, the US, and Australia come here each year.
Dievo Surgery Center is a private multispecialty clinic in Kyiv with European Board of Urology accreditation. It focuses on urology, surgery, proctology, and plastic surgery. Over 4,000 patients from Europe, the US, and Australia come here each year.
ADONIS Medical Group is a private women's health and fertility center in Kyiv, Ukraine. The group specializes in IVF, surrogacy, prenatal care, and operative gynecology. It also provides pediatric care and newborn diagnostics through its own maternity hospital. The clinic operates across 14 buildings with a team of over 900 employees. A key strength is its full-cycle system with an on-site embryo lab and cryobank.
The medical group has over 25 years of experience in reproductive health. More than 15,000 babies have been born through its programs. In 2020, the team performed over 1,300 cycles with a 56% cryoprotocol success rate. Dr. Maryna Sazonova leads the fertility center and has 24 years of experience. Families from 32 countries have traveled here for treatment.
Specialists use advanced diagnostic tools like CT scans, ultrasound, and X-ray imaging. The center also offers PGD NGS testing on a next-generation sequencing platform. International patients get support from a dedicated department with coordinators speaking 10 languages. This includes legal help and concierge-style coordination for surrogacy and donor programs.
","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":70,"price_to":140,"currency":"USD","id":30801},"diagnostic":{"id":453,"name":"Revision of MRI results","alias":"revision-of-mri-results"}}],"reviews":[],"clinic":{"id":1131,"alias":"adonis-medical-group-of-companies","name":"ADONIS Medical Group of Companies","short_description":"ADONIS Medical Group is a private women's health and fertility center in Kyiv, Ukraine. The group specializes in IVF, surrogacy, prenatal care, and operative gynecology. It also provides pediatric care and newborn diagnostics through its own maternity hospital. The clinic operates across 14 buildings with a team of over 900 employees. A key strength is its full-cycle system with an on-site embryo lab and cryobank.
The medical group has over 25 years of experience in reproductive health. More than 15,000 babies have been born through its programs. In 2020, the team performed over 1,300 cycles with a 56% cryoprotocol success rate. Dr. Maryna Sazonova leads the fertility center and has 24 years of experience. Families from 32 countries have traveled here for treatment.
Specialists use advanced diagnostic tools like CT scans, ultrasound, and X-ray imaging. The center also offers PGD NGS testing on a next-generation sequencing platform. International patients get support from a dedicated department with coordinators speaking 10 languages. This includes legal help and concierge-style coordination for surrogacy and donor programs.
","images":[{"base_url":"clinic/6a789e5ea644d","title":"Entrance to Meraki Health clinic with illuminated logo on wall"},{"base_url":"clinic/6a789e60712aa","title":"Reception desk at ADONIS Medical Group, modern minimalist clinic interior"},{"base_url":"clinic/6a789e6274644","title":"Reception area at Clínica Cuidarte with modern wood panel design"},{"base_url":"clinic/6a789e644598a","title":"Reception area at ADONIS Medical Group, Kyiv, modern interior with seating"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Ukraine","id":47,"alias":"ukraine","iso_code":"UA"},"city":{"name":"Kyiv","id":109,"alias":"kiev"},"address":"Dniprovska Embankment, 26К, Kyiv, Ukraine, 02132"},"rating":{"rating":4.7,"google":5,"percent_of_satisfied_clients":85},"statistics":{"number_of_reviews":41,"doctors_number":925},"accreditations":[],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Sana Vita is a multidisciplinary medical center in Odesa, Ukraine. It focuses on one-day surgery and aesthetic medicine. The clinic uses minimally invasive techniques for painless treatment.
Sana Vita is a multidisciplinary medical center in Odesa, Ukraine. It focuses on one-day surgery and aesthetic medicine. The clinic uses minimally invasive techniques for painless treatment.
Avicenna Med Medical Center in Kyiv handles over 5,000 patients and 1,000 surgeries each year. It focuses on bariatric surgery, gynecology, urology, and plastic surgery. The clinic uses 3D laparoscopic techniques for faster recovery.
Avicenna Med Medical Center in Kyiv handles over 5,000 patients and 1,000 surgeries each year. It focuses on bariatric surgery, gynecology, urology, and plastic surgery. The clinic uses 3D laparoscopic techniques for faster recovery.
Oleg Kolibaba Medical Center is a private multispecialty clinic in Kyiv, Ukraine. It focuses on otolaryngology, plastic and general surgery, and esthetic medicine. Around 1,000 patients visit each year from Europe, the Gulf, and CIS countries.
Oleg Kolibaba Medical Center is a private multispecialty clinic in Kyiv, Ukraine. It focuses on otolaryngology, plastic and general surgery, and esthetic medicine. Around 1,000 patients visit each year from Europe, the Gulf, and CIS countries.
I.D. Clinic is a multidisciplinary medical center in the Kyiv region of Ukraine. The facility offers care in gynecology, reproductive health, pediatrics, and aesthetic medicine. It was founded in 2017 in Kyiv. The team includes 12 doctors across four departments. The Head of Embryology previously worked as a lead specialist in the USA.
The center holds Fetal Medicine Foundation certification for prenatal screening. It is also accredited by ESHRE for reproductive care. Specialists follow FMF international standards during screening. For aesthetic body shaping, the clinic uses the ICOONE Laser system. This technology combines vacuum-roller stimulation with diode laser and LED lifting. Staff follow European protocols and high sterility standards.
","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":3675,"alias":"i-d-clinic","name":"I.D. Clinic","short_description":"I.D. Clinic is a multidisciplinary medical center in the Kyiv region of Ukraine. The facility offers care in gynecology, reproductive health, pediatrics, and aesthetic medicine. It was founded in 2017 in Kyiv. The team includes 12 doctors across four departments. The Head of Embryology previously worked as a lead specialist in the USA.
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","images":[{"base_url":"clinic/6a791560aa5ac","title":"Modern exterior of I.D. Clinic in Ukraine with flags at entrance"},{"base_url":"clinic/6a79156260a0e","title":"Modern clinic building exterior at I.D. Clinic, Ukraine"},{"base_url":"clinic/6a791563f23b3","title":"Gynecology examination room with ultrasound equipment at I.D. Clinic"},{"base_url":"clinic/6a791565a3781","title":"Modern staircase and hallway at I.D. Clinic with minimalist design"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Ukraine","id":47,"alias":"ukraine","iso_code":"UA"},"city":{"name":"Kyiv","id":109,"alias":"kiev"},"address":"Peremohy St, 38, Kriukivshchyna, Kyivs'ka oblast, Ukraine, 08136"},"rating":{"rating":0,"google":4.9,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":12,"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/5db9bd0f432af.jpeg","name":"European Society of Human Reproduction and Embryology","country_code":"BE"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Agapit Medical Center is a multidisciplinary clinic in Kyiv, Ukraine. It treats adults and children across 30 medical specialties. Key areas include plastic surgery, vascular surgery, and physical rehabilitation. Pediatric care covers cardiology, dermatology, and general pediatrics. Patients can visit two branches, in the Darnytsia and Pozniaky neighborhoods.
Founded in 2014, the center works under a Ministry of Health license. A team of 11 doctors provides care across the network. Lead specialists have 20 to 40 years of medical experience. Many physicians trained at Bogomolets National Medical University. Since 2016, the clinic has used a centralized contact center.
Diagnostics include ultrasound, ECG, and computed tomography. Surgeons focus on one-day operations. They perform mammaplasty, rhinoplasty, and hernia repairs. For hemorrhoids, proctologists offer laser ablation and latex ring ligation. Rehabilitation specialists provide kinesiotaping and manual therapy. International patients can book paid online consultations via Telegram or Viber.
","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":4846,"alias":"agapit-medical-center","name":"Agapit Medical Center","short_description":"Agapit Medical Center is a multidisciplinary clinic in Kyiv, Ukraine. It treats adults and children across 30 medical specialties. Key areas include plastic surgery, vascular surgery, and physical rehabilitation. Pediatric care covers cardiology, dermatology, and general pediatrics. Patients can visit two branches, in the Darnytsia and Pozniaky neighborhoods.
Founded in 2014, the center works under a Ministry of Health license. A team of 11 doctors provides care across the network. Lead specialists have 20 to 40 years of medical experience. Many physicians trained at Bogomolets National Medical University. Since 2016, the clinic has used a centralized contact center.
Diagnostics include ultrasound, ECG, and computed tomography. Surgeons focus on one-day operations. They perform mammaplasty, rhinoplasty, and hernia repairs. For hemorrhoids, proctologists offer laser ablation and latex ring ligation. Rehabilitation specialists provide kinesiotaping and manual therapy. International patients can book paid online consultations via Telegram or Viber.
","images":[{"base_url":"clinic/6a72a6aff2bdd","title":"Reception area at Agapit Medical Center with modern decor and green seating"},{"base_url":"clinic/6a72a6b1a7404","title":"Reception area at Agapit Medical Center with modern seating and decor"},{"base_url":"clinic/6a72a6b33e238","title":"Operating room at Agapit Medical Center with modern surgical equipment"},{"base_url":"clinic/6a72a6b5430f0","title":"Consultation room at Agapit Medical Center with modern furniture and large window"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Ukraine","id":47,"alias":"ukraine","iso_code":"UA"},"city":{"name":"Kyiv","id":109,"alias":"kiev"},"address":"Kyiv, Darnytsia: Budivelnykiv St, 30; Pozniaky: Oleksandra Mishuhy St, 2"},"rating":{"rating":0,"google":4.9,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":11,"year_foundation":2014},"accreditations":[],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Smart Medical Center is a multidisciplinary medical network in Kyiv, Ukraine. It treats both adults and children across three branches. Key specialties include oncology, surgery, gynecology, and proctology. The clinic has been operating for over nine years. Its team includes more than 280 doctors and over 70 experienced surgeons. Around 30 staff members hold academic degrees or scientific titles.
The network has 14 specialized departments, its own laboratory, and dedicated surgical facilities. Diagnostics include digital X-ray, expert-level endoscopy, and ultrasound. The clinic holds ESMO and ASCO accreditations for its cancer care. It is also an official internship base for major medical universities.
","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":5039,"alias":"kateryna-test","name":"Smart Medical Center","short_description":"Smart Medical Center is a multidisciplinary medical network in Kyiv, Ukraine. It treats both adults and children across three branches. Key specialties include oncology, surgery, gynecology, and proctology. The clinic has been operating for over nine years. Its team includes more than 280 doctors and over 70 experienced surgeons. Around 30 staff members hold academic degrees or scientific titles.
The network has 14 specialized departments, its own laboratory, and dedicated surgical facilities. Diagnostics include digital X-ray, expert-level endoscopy, and ultrasound. The clinic holds ESMO and ASCO accreditations for its cancer care. It is also an official internship base for major medical universities.
","images":[{"base_url":"clinic/6a777edcae252","title":"Smart Medical Center clinic exterior with modern facade in Kyiv, Ukraine"},{"base_url":"clinic/6a777edeb1491","title":"Smart Medical Center clinic building exterior in Kyiv, modern healthcare facility"},{"base_url":"clinic/6a777ee0508c6","title":"Smart Medical Center clinic building exterior in Kyiv, modern healthcare facility"},{"base_url":"clinic/6a777ee240a38","title":"Reception area at Smart Medical Center with modern minimalist design"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Ukraine","id":47,"alias":"ukraine","iso_code":"UA"},"city":{"name":"Kyiv","id":109,"alias":"kiev"},"address":"Levka Lukianenka St, 21/2, Unit 10, Kyiv, Ukraine, 04207"},"rating":{"rating":4.5,"google":4.6,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":280},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d1129badf6c5.jpeg","name":"European Society for Medical Oncology","country_code":"CH"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":8,"total_pages":1}},"clinicsMeta":{"total_count":8,"total_pages":1},"clinicsCount":8,"clinicsCountByEntity":{"clinic_count":156},"doctors":{"doctors":[{"doctor":{"id":10032,"alias":"spilnyi-vitalii","name":"Spilnyi Vitalii","clinic_id":6804,"photo":"doctor/683adfa6405af","first_year_working":2014,"created_at":"2025-05-31T10:53:25.206+00:00","specialities":[{"id":"sur.006","name":"Colorectal surgeon","illness_kind_id":33},{"id":"sur.009","name":"Gastrointestinal surgeon","illness_kind_id":33},{"id":"sur.010","name":"General surgeon","illness_kind_id":33}],"statistics":{"review_count":0,"review_score":0}},"clinic":{"id":6804,"alias":"sana-vita","name":"Sana Vita","short_description":"Sana Vita is a multidisciplinary medical center in Odesa, Ukraine. It focuses on one-day surgery and aesthetic medicine. The clinic uses minimally invasive techniques for painless treatment.
Sana Vita is a multidisciplinary medical center in Odesa, Ukraine. It focuses on one-day surgery and aesthetic medicine. The clinic uses minimally invasive techniques for painless treatment.
I.D. Clinic is a multidisciplinary medical center in the Kyiv region of Ukraine. The facility offers care in gynecology, reproductive health, pediatrics, and aesthetic medicine. It was founded in 2017 in Kyiv. The team includes 12 doctors across four departments. The Head of Embryology previously worked as a lead specialist in the USA.
The center holds Fetal Medicine Foundation certification for prenatal screening. It is also accredited by ESHRE for reproductive care. Specialists follow FMF international standards during screening. For aesthetic body shaping, the clinic uses the ICOONE Laser system. This technology combines vacuum-roller stimulation with diode laser and LED lifting. Staff follow European protocols and high sterility standards.
","images":[{"base_url":"clinic/6a791560aa5ac","title":"Modern exterior of I.D. Clinic in Ukraine with flags at entrance"},{"base_url":"clinic/6a79156260a0e","title":"Modern clinic building exterior at I.D. Clinic, Ukraine"},{"base_url":"clinic/6a791563f23b3","title":"Gynecology examination room with ultrasound equipment at I.D. Clinic"},{"base_url":"clinic/6a791565a3781","title":"Modern staircase and hallway at I.D. Clinic with minimalist design"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Ukraine","id":47,"alias":"ukraine","iso_code":"UA"},"city":{"name":"Kyiv","id":109,"alias":"kiev"},"address":"Peremohy St, 38, Kriukivshchyna, Kyivs'ka oblast, Ukraine, 08136"},"rating":{"rating":0,"google":4.9,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":12,"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/5db9bd0f432af.jpeg","name":"European Society of Human Reproduction and Embryology","country_code":"BE"}]}},{"doctor":{"id":14905,"alias":"chumachenko-adrian-serhiyovych","name":"Chumachenko Adrian Serhiyovych","clinic_id":4846,"photo":"doctor/6a72a8058c8d8","first_year_working":2022,"created_at":"2026-08-05T03:03:31.843+00:00","short_description":"Adrian Serhiyovych Chumachenko is a specialist at the clinic—a Surgeon and Proctologist with 4 years of medical experience. At the clinic, he treats hemorrhoids, rectal fissures, and anal canal polyps. He also provides adult consultative appointments, including planning the necessary lab and instrumental tests and interpreting results.","specialities":[{"id":"sur.006","name":"Colorectal surgeon","illness_kind_id":33}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":4846,"alias":"agapit-medical-center","name":"Agapit Medical Center","short_description":"Agapit Medical Center is a multidisciplinary clinic in Kyiv, Ukraine. It treats adults and children across 30 medical specialties. Key areas include plastic surgery, vascular surgery, and physical rehabilitation. Pediatric care covers cardiology, dermatology, and general pediatrics. Patients can visit two branches, in the Darnytsia and Pozniaky neighborhoods.
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","images":[{"base_url":"clinic/6a72a6aff2bdd","title":"Reception area at Agapit Medical Center with modern decor and green seating"},{"base_url":"clinic/6a72a6b1a7404","title":"Reception area at Agapit Medical Center with modern seating and decor"},{"base_url":"clinic/6a72a6b33e238","title":"Operating room at Agapit Medical Center with modern surgical equipment"},{"base_url":"clinic/6a72a6b5430f0","title":"Consultation room at Agapit Medical Center with modern furniture and large window"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Ukraine","id":47,"alias":"ukraine","iso_code":"UA"},"city":{"name":"Kyiv","id":109,"alias":"kiev"},"address":"Kyiv, Darnytsia: Budivelnykiv St, 30; Pozniaky: Oleksandra Mishuhy St, 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longer if pain or desk-sitting discomfort persists."},"complication_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Any complication after banding, mainly pain and minor bleeding; serious ones such as sepsis under 1%."},"contraindications":["Suspected anorectal cancer or unevaluated rectal bleeding","Active anorectal infection or abscess","Uncontrolled bleeding disorder or anticoagulation (relative; needs specialist planning)","Severe immunosuppression or anorectal inflammatory bowel disease (relative)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Office procedure; patient leaves within about an hour."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":0,"max":1,"unit":"weeks","qualifier":"Light activity next day; strenuous exercise and heavy lifting after several days if comfortable."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"After the last banding session; depends on number of hemorrhoids and sessions needed."},"fly_home_after_days":{"min":1,"max":3,"unit":"days","qualifier":"Short flights usually fine next day; delayed bleeding can occur around day 5-10."},"follow_up_visits":[{"purpose":"assessment","after":{"min":28,"max":42,"unit":"days","qualifier":"Review symptom response and decide on a further banding session."},"requirement":"routine"},{"purpose":"wound_check","after":{"min":7,"max":14,"unit":"days","qualifier":"Only for significant pain, bleeding or urinary difficulty after banding."},"requirement":"conditional"}],"indications":["Symptomatic hemorrhoids: bleeding, prolapse, pain, itching or discomfort","Persistent grade I–III internal hemorrhoids despite conservative care","High-grade, prolapsing, thrombosed or treatment-resistant hemorrhoids"],"main_risks":["Pain or anal discomfort after procedural treatment","Bleeding","Urinary retention (more with surgery)","Thrombosis or recurrence of hemorrhoids","Infection or abscess (uncommon)","Anal stenosis or continence disturbance (uncommon, mainly after surgery)"],"pain":"Mild to moderate pressure or aching for 1-3 days, usually managed with paracetamol and warm baths. Severe pain is uncommon and needs prompt review.","preparation":["Colonoscopy or sigmoidoscopy beforehand if indicated","Review blood thinners with the specialist","Fiber and fluids to avoid constipation","Enema or empty bowel as advised","Eat normally; no fasting usually required","Avoid NSAIDs and aspirin unless advised"],"recovery_timeline":[{"phase":"Day 0-3","description":"Rectal fullness or mild aching; small amount of spotting possible.","restrictions":["Avoid straining","Avoid NSAIDs and aspirin","Avoid heavy lifting"]},{"phase":"Day 4-10","description":"Bands and treated tissue slough off; light bleeding can occur around day 5-10.","restrictions":["Keep stools soft","Avoid long-distance travel if bleeding concerns"]},{"phase":"Weeks 2-6","description":"Ulcer heals and symptoms improve; reassess for further banding.","restrictions":["Continue fiber and hydration","Avoid prolonged toilet sitting"]}],"rehabilitation_days":{"min":1,"max":3,"unit":"days","qualifier":"Time to ordinary comfort and function; depends on band count and individual pain tolerance."},"result_longevity":"Symptom relief often lasts years, but recurrence occurs in a notable minority. Diet, stool regulation and avoiding straining help maintain results.","revision_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Repeat banding or surgery for recurrent symptoms within about 2-5 years; surgery needed in under 10%."},"scars":"No external incisions or visible scars. 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repeat banding needs return trips."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask your doctor which treatment is best for your case before deciding","scope":"treatment_type","source":{"url":"https://www.nhs.uk/conditions/piles-haemorrhoids/","host":"nhs.uk","quote":"Talk to your doctor about the best treatment for you.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","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":"C3","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}},{"id":"C4","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","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":"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}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Bleeding non-stop","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/conditions/piles-haemorrhoids/","host":"nhs.uk","quote":"you are bleeding non-stop there is a lot of blood or you see large blood clots you are in severe pain","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"A lot of blood or large blood clots","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/conditions/piles-haemorrhoids/","host":"nhs.uk","quote":"you are bleeding non-stop there is a lot of blood or you see large blood clots you are in severe pain","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Pus or drainage from the operation site","urgency":"contact_clinic","general":false,"source":{"url":"https://www.leedsth.nhs.uk/patients/resources/haemorrhoid-surgery-surgery-for-piles/","host":"leedsth.nhs.uk","quote":"1. A temperature 2. Fresh bleeding or bruising 3. Redness or swelling at the operation site 4. Pus or drainage from the operation site","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Redness or swelling at the operation site","urgency":"contact_clinic","general":false,"source":{"url":"https://www.leedsth.nhs.uk/patients/resources/haemorrhoid-surgery-surgery-for-piles/","host":"leedsth.nhs.uk","quote":"1. A temperature 2. Fresh bleeding or bruising 3. Redness or swelling at the operation site","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W5","text":"Prolonged or severe pain","urgency":"contact_clinic","general":true,"source":{"url":"https://www.leedsth.nhs.uk/patients/resources/haemorrhoid-surgery-surgery-for-piles/","host":"leedsth.nhs.uk","quote":"1. A temperature 2. Fresh bleeding or bruising 3. Redness or swelling at the operation site 4. Pus or drainage from the operation site 5. Prolonged or severe pain","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","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":"T2","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":"T3","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":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You want relief from itch and discomfort without a procedure","name":"Hemorrhoid creams and ointments","source":{"url":"https://www.ncic.nhs.uk/patients-visitors/patient-information-leaflets/General-surgery-Haemorrhoids","host":"ncic.nhs.uk","quote":"Ointments, creams, and suppositories - 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