Dr. Pekize Eker Balcioglu brings _doctor_2950_years_ of specialized experience in proctology, having performed 900+ hemorrhoid procedures. The rubber band ligation package may cost around $2,750 – typically covering surgery, preoperative tests, anesthesia, 1-night hospital stay, and airport transfers. As a JCI-accredited specialist trained at Istanbul University, Dr. Balcioglu focuses on minimally invasive techniques like latex ring ligation and THD procedures.
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.
Assoc Prof Dr Guner Cakmak has performed 1,100+ hemorrhoid procedures over _doctor_9065_years_, with 43 published articles and 9 surgical awards. Rubber band ligation may cost around $1,000 – typically covering the procedure, consultation, pre-op exams, 1-day hospitalization, and transfers. The JCI-accredited hospital offers enhanced packages with hotel stays. Dr. Cakmak specializes in minimally invasive techniques and holds international qualifications.
Lokman Hekim Istanbul Hospital is a JCI-accredited private medical center in Istanbul. It treats 10,000+ patients each year. Core specialties are neurosurgery, orthopedics, spinal surgery, and weight loss surgery.
Memorial Şişli Hospital holds JCI accreditation – the first in Turkey and 21st worldwide. Rubber band ligation may cost around $3,500, typically covering the procedure and 1 night hospital stay. Associate Professor Onur Bayraktar specializes in general surgery with a focus on hemorrhoid treatment. The clinic provides free interpreter services and airport transfers for treatment patients.
","text_type":"mt_wow_description","best_texts":{"good_fit_for":"Internal hemorrhoids with one-day stay, airport transfer and interpreter","why_its_ranked":"JCI-accredited (first in Turkey) with 91% patient recommendation. Performed in specialized Proctology unit by an Associate Professor from General Surgery."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":250,"price_to":250,"currency":"USD","id":63582},"diagnostic":{"id":67,"name":"Consultation with a proctologist","alias":"consultation-of-a-procologist"}},{"prices":{"price_from":750,"price_to":750,"currency":"USD","id":50273},"diagnostic":{"id":372,"name":"CT of the chest","alias":"ct-of-the-chest"}}],"reviews":[],"clinic":{"id":96,"alias":"memorial-healthcare-group","name":"Memorial Şişli Hospital","short_description":"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":436,"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"}]}},{"text":"Prof. Dr. Alihan Gurkan brings 28 years of expertise with 1,100+ rubber band ligations performed. The procedure may cost around $3,300, typically covering surgery, 1 night hospitalization, airport transfers, and follow-up care. Memorial Antalya Hospital holds JCI accreditation and specializes in minimally invasive techniques using latex rings.
","text_type":"mt_wow_description","best_texts":{"techniques":"Rubber band ligation of hemorrhoids with latex rings","good_fit_for":"Patients needing minimally invasive hemorrhoid treatment","why_its_ranked":"JCI accredited hospital with experienced general surgeons performing the procedure. 93% patient recommendation rate. Specializes in outpatient hemorrhoid treatments with quick recovery."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":500,"price_to":600,"currency":"USD","id":64395},"diagnostic":{"id":247,"name":"Abdominal CT Scan","alias":"abdominal-ct-scan"}},{"prices":{"price_from":150,"price_to":150,"currency":"USD","id":60749},"diagnostic":{"id":477,"name":"Consultation with an interventional radiologist","alias":"consultation-with-an-interventional-radiologist"}}],"reviews":[],"clinic":{"id":417,"alias":"memorial-antalya-hospital","name":"Memorial Antalya Hospital","short_description":"Memorial Antalya Hospital is a JCI-accredited private hospital. It was the first in Turkey licensed for liver and kidney transplants. The hospital treats 1.6 million patients annually across oncology, general surgery, and plastic surgery.
Dr. Carlos Garcia Vasquez, an Associate Head at Infanta Elena University Hospital, brings 10+ years of specialized experience in minimally invasive colorectal and proctologic surgery. His PhD in Surgery and Da Vinci robotic certification support precise rubber band ligation procedures. The clinic serves 160+ patients annually, with treatment costs typically around $3,500–$5,500. Dr. Garcia's research includes patented abdominal wall systems and publications in leading surgical journals.
Centro PAD is a private digestive surgery and gastroenterology center in Madrid, Spain, founded and directed by Dr. Carlos Garcia Vasquez. Surgeries are performed at HLA Moncloa University Hospital, recognized among the World's Best Smart Hospitals 2023 by Newsweek and certified to ISO 45001. The surgical team has 18 years of experience and more than 7,000 procedures, using Da Vinci robotic (X, Xi, 5) and laparoscopic techniques for colorectal cancer, proctology, hernias and obesity.
The center treats 600 patients a year, including international patients from Europe, the Americas and Australia, with online consultations available in Spanish or English before traveling.
","images":[{"base_url":"clinic/69a21effd0f39","title":"Surgeon at Centro PAD with robotic surgery system in operating room"},{"base_url":"clinic/69a21f494fc5d","title":"Surgeon with Da Vinci robotic surgery system at Centro PAD clinic"},{"base_url":"clinic/69a21f12c28c8","title":"Modern facade of HLA Hospital Universitario Moncloa in Madrid, Spain"},{"base_url":"clinic/69a21e2e5d64d","title":"Centro PAD clinic logo with stylized intestine graphic"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Spain","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Madrid","id":346,"alias":"madrid"},"address":"Av. de Valladolid, 81B, Moncloa - Aravaca, 28008 Madrid, Spain"},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":2,"year_foundation":2024},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/67a21921f0080.jpeg","name":"ISO 45001 (Occupational Health and Safety Management)"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6360fa074cde8.jpeg","name":"World's Best Smart Hospitals 2023 by Newsweek","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Centrum Medyczne doktorA achieves a 75–90% success rate using the Barron method for hemorrhoids. This outpatient procedure takes only 15–20 minutes in a clinic setting. Dr. Piotr Diuwe leads the proctology team. He completed the first postgraduate Practical Coloproctology program in Poland at Jagiellonian University. The clinic holds the Patient-Friendly Facility certificate for its accredited care. Patients can access onsite diagnostics like anoscopy and rectoscopy at two Warsaw locations. Most people return to daily activities quickly after treatment.
","text_type":"mt_wow_description","best_texts":{"techniques":"Barron method","why_its_ranked":"Lead surgeon completed Poland's first postgraduate coloproctology program at Jagiellonian University. Onsite anoscopy and rectoscopy available with 75–90% success rate."},"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":125.43316379774957,"price_to":0,"currency":"USD","id":58430},"operation":{"id":755,"name":"Rubber band ligation of hemorrhoids","alias":"rubber-band-ligation-of-hemorrhoids"}},{"prices":{"price_from":80,"price_to":80,"currency":"USD","id":65324},"diagnostic":{"id":107,"name":"Consultation with a surgeon","alias":"surgical-consultation"}}],"reviews":[],"clinic":{"id":8358,"alias":"centrum-medyczne-doktora","name":"Centrum Medyczne doktorA","short_description":"Centrum Medyczne doktorA is a multispecialty outpatient clinic in Warsaw, Poland. It runs two locations in the Wesoła and Targówek districts. The center treats both adults and children. Main specialties include phlebology, cardiology, and gastroenterology. Pediatric services cover vaccinations, check-ups, and specialist visits.
The clinic has performed over 1,500 laser vein closure procedures. Founded in 2007, it employs 26 doctors. Dr. Adam Zieliński heads the vascular surgery unit with 25 years of experience. Team members trained at major Polish and German medical universities. Several doctors belong to the European Society for Vascular Surgery.
Centrum Medyczne doktorA holds the Patient-Friendly Facility certificate. It uses laser endovenous thermal ablation to treat varicose veins. Diagnostics include MRI, CT scans, and 24-hour Holter monitoring. Modern endoscopy rooms support gastroscopy and colonoscopy. Induction-loop microphones at reception help hearing-impaired patients.
","images":[{"base_url":"clinic/6a7304851ba20","title":"Centrum Medyczne doktorA clinic exterior with modern facade in Poland"},{"base_url":"clinic/6a73048aaf94d","title":"Centrum Medyczne doktorA clinic entrance in Poland with modern glass doors"},{"base_url":"clinic/6a7304886d68c","title":"Centrum Medyczne doktorA clinic waiting area with patients and consultation room doors"},{"base_url":"clinic/6a7304982e54b","title":"Centrum Medyczne doktorA clinic hallway with waiting area and modern decor"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Poland","id":17,"alias":"poland","iso_code":"PL"},"city":{"name":"Warsaw","id":18,"alias":"warsaw"},"address":"Trakt Brzeski 57B/3, 05-077 Warszawa"},"rating":{"rating":3.3,"google":4.1,"percent_of_satisfied_clients":66},"statistics":{"number_of_reviews":3,"doctors_number":0,"year_foundation":2013},"accreditations":[],"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Dr. Marco Sariñana has performed 3,000 procedures over _doctor_2515_years_, specializing in plastic and bariatric surgery. Rubber band ligation may cost around $5,350 at AURA HEALTH CENTER typically covering pre-op tests, surgery, 1 night stay, medications, and transfers. The Mexican Board-certified surgeon holds a Master's in Cosmetic Surgery and AME membership. Hospital de la Familia is accredited by Mexico's Consejo de Salubridad General.
Hospital de la Familia is a boutique medical facility 200 yards from the US-Mexico border. It specializes in gastroenterology, cardiac surgery, and neurosurgery. The hospital is accredited by the General Health Council of Mexico.
Dr. Xavier Centeno Fornies specializes in minimally invasive hemorrhoid treatments with _doctor_8374_years_ of experience and over 1,100 procedures performed. Rubber band ligation typically costs around $710 and includes proctologist consultation, anoscopy, and necessary tests. The outpatient procedure takes 15-30 minutes without general anesthesia, with recovery often possible the next day. Centro Médico Teknon is JCI-certified and part of Grupo Quirónsalud, maintaining international safety standards.
Centro Médico Teknon is a private multi-specialty medical center in Barcelona, Spain, and part of Quirónsalud, Spain’s largest private hospital group. The center specializes in neurosurgery, orthopedics, oncology, and heart surgery, with expertise also covering cardiology, fertility, ophthalmology, and advanced diagnostics. JCI accredited and recognized as one of Barcelona’s leading private hospitals, Centro Médico Teknon treats complex cases and welcomes international patients, including public figures, athletes, and celebrities. The center serves adults only and welcomes around 10,000 patients each year, with patients most often coming from Russian-speaking countries, Europe and the Commonwealth, the USA, Canada, and Australia.
\n","images":[{"base_url":"clinic/5c87be3904761","title":"Centro Médico Teknon clinic exterior with grand staircase in Barcelona, Spain"},{"base_url":"clinic/5ab24c738630b","title":"Centro Médico Teknon clinic facade with landscaped garden in Barcelona, Spain"},{"base_url":"clinic/5ac3164cd87d2","title":"Medical team in front of Centro Médico Teknon clinic building in Barcelona, Spain"},{"base_url":"clinic/5ac3156221add","title":"Centro Médico Teknon clinic entrance in Barcelona, Spain"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Spain","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Barcelona","id":98,"alias":"barcelona"},"address":"Carrer de Vilana, 12, 08022 Barcelona, Spain"},"rating":{"rating":4.7,"google":3.5,"percent_of_satisfied_clients":93},"statistics":{"number_of_reviews":497,"doctors_number":400,"year_foundation":1994},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db98320c06c8.jpeg","name":"European Foundation for Quality Management","country_code":"BE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5df778168a0e7.jpeg","name":"THE IMTJ MEDICAL TRAVEL AWARD WINNER IN 2019","country_code":"GB"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa15d1e46dd.jpeg","name":"Patient choice in Neurology","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa164eddd5f.jpeg","name":"Patient choice in Neurosurgery","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa16d49cbac.jpeg","name":"Patient choice for Epilepsy treatment","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"World's Best Hospitals 2021 by Newsweek","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Professor Hagit Tulchinsky leads Ichilov Medical Center's colorectal surgery department after training at St Mark's Hospital London. The procedure typically costs around $3,590–$19,230 USD, covering consultation, diagnostics, anesthesia, and treatment. As Chair of Israeli Society of Colorectal Surgery, Prof. Tulchinsky operates at a JCI-accredited facility recognized among Newsweek's Top 10 hospitals for medical tourism.
Sourasky Medical Center (Ichilov) is the largest multidisciplinary hospital in Israel and a JCI-accredited facility. It has been named a top medical tourism destination by Newsweek. Its core strengths are oncology, onco-hematology, neurosurgery, and rehabilitation.
Turan Turan Health Group is a robotic surgery and orthopedic center in Bursa, Turkey, with over 25 years of experience. It specializes in robotic joint replacement and minimally invasive spine surgery. The clinic treats around 18,000 patients each year.
Turan Turan Health Group is a robotic surgery and orthopedic center in Bursa, Turkey, with over 25 years of experience. It specializes in robotic joint replacement and minimally invasive spine surgery. The clinic treats around 18,000 patients each year.
Liv Bona Dea Hospital Baku operates a Colorectal Surgery Center of Excellence. This center offers laser hemorrhoidectomy, providing a minimally invasive option with faster recovery times. Surgeons also perform classical open and closed techniques, along with Doppler-assisted hemorrhoidal artery ligation. As a JCI-accredited facility with 100% compliance, the clinic maintains international safety standards. It combines Turkish medical expertise from the Liv Hospital network with a dedicated department for international patients to help coordinate care during the stay.
","text_type":"mt_wow_description","best_texts":{"good_fit_for":"Minimally invasive laser treatment instead of open surgery","why_its_ranked":"JCI-accredited hospital. Surgeon is an International Society of Coloproctology (FISCP) member, trained in minimally invasive laser procedures, offering non-surgical options for early-stage hemorrhoids."},"additional_data":{"advertising_id":"3325:illness_kind:33"},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":2300,"price_to":4000,"currency":"USD","id":52529},"operation":{"id":310,"name":"Hemorrhoidectomy","alias":"hemorrhoidectomy"}},{"prices":{"price_from":100,"price_to":100,"currency":"USD","id":61240},"diagnostic":{"id":67,"name":"Consultation with a proctologist","alias":"consultation-of-a-procologist"}}],"reviews":[],"clinic":{"id":3325,"alias":"liv-bona-dea-hospital-baku","name":"Liv Bona Dea Hospital Baku","short_description":"Liv Bona Dea Hospital Baku is a JCI-accredited hospital with 100% compliance. It is part of the Turkish Liv Hospital brand. The hospital specializes in heart surgery, plastic surgery, transplantology, and medical check-ups.
Prof. Dr. med. Peter Schenker, Chief Physician and leading European surgery expert, performs hemorrhoidectomies at Städtisches Klinikum Solingen. The complete package may cost around 9,410 USD, typically including surgery, anesthesia, 1-night hospitalization, pre-op consultations, lab tests, histological examination, and post-op care. The university-affiliated hospital is certified by German Cancer Society, WHO, and TÜV RHEINLAND, treating 60,000+ patients annually with minimally invasive techniques available.
","text_type":"mt_wow_description","best_texts":{"techniques":"Minimally invasive surgery","good_fit_for":"Hemorrhoids treatment","why_its_ranked":"Prof. Peter Schenker, a leading specialist in gastrointestinal surgery, heads the department. The clinic offers inpatient services with a comprehensive package, including postoperative care and histological examination."},"additional_data":{"advertising_id":"268:illness_kind:34"},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":4000,"price_to":7000,"currency":"USD","id":28052},"operation":{"id":310,"name":"Hemorrhoidectomy","alias":"hemorrhoidectomy"}},{"prices":{"price_from":650,"price_to":1150,"currency":"USD","id":28141},"diagnostic":{"id":284,"name":"Abdominal MRI","alias":"abdominal-mri"}},{"prices":{"price_from":510,"price_to":510,"currency":"USD","id":47774},"diagnostic":{"id":247,"name":"Abdominal CT Scan","alias":"abdominal-ct-scan"}}],"reviews":[],"clinic":{"id":268,"alias":"medical-center-in-solingen","name":"Medical Center in Solingen","short_description":"Medical Center in Solingen is an Academic Hospital of the University of Cologne. It ranks among Germany's top clinics by Focus magazine. Core specialties include neurosurgery, gastroenterology and cancer, and the breast center.
Dr. Balcioglu specializes in hemorrhoid treatments, including rubber band ligation, at Hisar Hospital Intercontinental.
Dr. Pekize Eker Balcioglu is a general surgeon at Hisar Hospital Intercontinental in Istanbul. She specializes in proctology and breast health. Dr. Balcioglu completed her medical education in English at the prestigious Istanbul University Cerrahpaşa. She serves as a columnist for two medical journals. Her practice focuses on minimally invasive surgery for common surgical conditions.
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.
Specialist in minimally invasive colorectal and proctological surgery – Dr. Garcia Vasquez leads surgical teams at Infanta Elena University Hospital and Fundación Jiménez Díaz.
Dr. Carlos Garcia Vasquez is a general surgeon at Centro PAD in Madrid. He holds a patent for a prosthetic implantation system for abdominal wall surgery. Dr. Garcia Vasquez serves as Associate Head of Surgery at Infanta Elena University Hospital. He earned his PhD in Surgery with summa cum laude honors.
Centro PAD is a private digestive surgery and gastroenterology center in Madrid, Spain, founded and directed by Dr. Carlos Garcia Vasquez. Surgeries are performed at HLA Moncloa University Hospital, recognized among the World's Best Smart Hospitals 2023 by Newsweek and certified to ISO 45001. The surgical team has 18 years of experience and more than 7,000 procedures, using Da Vinci robotic (X, Xi, 5) and laparoscopic techniques for colorectal cancer, proctology, hernias and obesity.
The center treats 600 patients a year, including international patients from Europe, the Americas and Australia, with online consultations available in Spanish or English before traveling.
","images":[{"base_url":"clinic/69a21effd0f39","title":"Surgeon at Centro PAD with robotic surgery system in operating room"},{"base_url":"clinic/69a21f494fc5d","title":"Surgeon with Da Vinci robotic surgery system at Centro PAD clinic"},{"base_url":"clinic/69a21f12c28c8","title":"Modern facade of HLA Hospital Universitario Moncloa in Madrid, Spain"},{"base_url":"clinic/69a21e2e5d64d","title":"Centro PAD clinic logo with stylized intestine graphic"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Spain","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Madrid","id":346,"alias":"madrid"},"address":"Av. de Valladolid, 81B, Moncloa - Aravaca, 28008 Madrid, Spain"},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":2,"year_foundation":2024},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/67a21921f0080.jpeg","name":"ISO 45001 (Occupational Health and Safety Management)"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6360fa074cde8.jpeg","name":"World's Best Smart Hospitals 2023 by Newsweek","country_code":"US"}]},"procedure_prices":[{"prices":{"price_from":4972.726469480255,"price_to":5525.251632755839,"currency":"USD","id":54597},"operation":{"id":755,"name":"Rubber band ligation of hemorrhoids","alias":"rubber-band-ligation-of-hemorrhoids"}}]},{"card_text":"Dr. Linares specializes in laparoscopic colorectal surgery, bringing advanced techniques to hemorrhoid treatment at Centro PAD.
Dr. Cesar Levano Linares is a colorectal specialist at Fundación Jiménez Díaz in Madrid. He holds European Accreditation in Laparoscopic Surgery from EACCME. Dr. Levano Linares earned his PhD in Medicine from the Autonomous University of Madrid. He works at Centro PAD, recognized by Newsweek as a World's Best Smart Hospital.
Centro PAD is a private digestive surgery and gastroenterology center in Madrid, Spain, founded and directed by Dr. Carlos Garcia Vasquez. Surgeries are performed at HLA Moncloa University Hospital, recognized among the World's Best Smart Hospitals 2023 by Newsweek and certified to ISO 45001. The surgical team has 18 years of experience and more than 7,000 procedures, using Da Vinci robotic (X, Xi, 5) and laparoscopic techniques for colorectal cancer, proctology, hernias and obesity.
The center treats 600 patients a year, including international patients from Europe, the Americas and Australia, with online consultations available in Spanish or English before traveling.
","images":[{"base_url":"clinic/69a21effd0f39","title":"Surgeon at Centro PAD with robotic surgery system in operating room"},{"base_url":"clinic/69a21f494fc5d","title":"Surgeon with Da Vinci robotic surgery system at Centro PAD clinic"},{"base_url":"clinic/69a21f12c28c8","title":"Modern facade of HLA Hospital Universitario Moncloa in Madrid, Spain"},{"base_url":"clinic/69a21e2e5d64d","title":"Centro PAD clinic logo with stylized intestine graphic"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Spain","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Madrid","id":346,"alias":"madrid"},"address":"Av. de Valladolid, 81B, Moncloa - Aravaca, 28008 Madrid, Spain"},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":2,"year_foundation":2024},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/67a21921f0080.jpeg","name":"ISO 45001 (Occupational Health and Safety Management)"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6360fa074cde8.jpeg","name":"World's Best Smart Hospitals 2023 by Newsweek","country_code":"US"}]},"procedure_prices":[{"prices":{"price_from":4972.726469480255,"price_to":5525.251632755839,"currency":"USD","id":54597},"operation":{"id":755,"name":"Rubber band ligation of hemorrhoids","alias":"rubber-band-ligation-of-hemorrhoids"}}]},{"doctor":{"id":15072,"alias":"piotr-diuwe","name":"Piotr Diuwe","clinic_id":8358,"photo":"doctor/6a73050142931","first_year_working":2009,"created_at":"2026-08-05T09:40:16.072+00:00","short_description":"Piotr Diuwe is a Proctologist and colorectal surgeon at the clinic in Warsaw Targówek. He completed the first-in-Poland postgraduate program in “Practical Coloproctology” at Jagiellonian University in 2019. He is active in surgical societies, serves as a board member in the Polish Coloproctology Club, and won the 2015 “Friendly Doctor for the Patient” plebiscite.","specialities":[{"id":"sur.006","name":"Colorectal surgeon","illness_kind_id":33},{"id":"sur.010","name":"General surgeon","illness_kind_id":33}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":8358,"alias":"centrum-medyczne-doktora","name":"Centrum Medyczne doktorA","short_description":"Centrum Medyczne doktorA is a multispecialty outpatient clinic in Warsaw, Poland. It runs two locations in the Wesoła and Targówek districts. The center treats both adults and children. Main specialties include phlebology, cardiology, and gastroenterology. Pediatric services cover vaccinations, check-ups, and specialist visits.
The clinic has performed over 1,500 laser vein closure procedures. Founded in 2007, it employs 26 doctors. Dr. Adam Zieliński heads the vascular surgery unit with 25 years of experience. Team members trained at major Polish and German medical universities. Several doctors belong to the European Society for Vascular Surgery.
Centrum Medyczne doktorA holds the Patient-Friendly Facility certificate. It uses laser endovenous thermal ablation to treat varicose veins. Diagnostics include MRI, CT scans, and 24-hour Holter monitoring. Modern endoscopy rooms support gastroscopy and colonoscopy. Induction-loop microphones at reception help hearing-impaired patients.
","images":[{"base_url":"clinic/6a7304851ba20","title":"Centrum Medyczne doktorA clinic exterior with modern facade in Poland"},{"base_url":"clinic/6a73048aaf94d","title":"Centrum Medyczne doktorA clinic entrance in Poland with modern glass doors"},{"base_url":"clinic/6a7304886d68c","title":"Centrum Medyczne doktorA clinic waiting area with patients and consultation room doors"},{"base_url":"clinic/6a7304982e54b","title":"Centrum Medyczne doktorA clinic hallway with waiting area and modern decor"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Poland","id":17,"alias":"poland","iso_code":"PL"},"city":{"name":"Warsaw","id":18,"alias":"warsaw"},"address":"Trakt Brzeski 57B/3, 05-077 Warszawa"},"rating":{"rating":3.3,"google":4.1,"percent_of_satisfied_clients":66},"statistics":{"number_of_reviews":3,"doctors_number":0,"year_foundation":2013},"accreditations":[]},"procedure_prices":[{"prices":{"price_from":125.43316379774957,"price_to":0,"currency":"USD","id":58430},"operation":{"id":755,"name":"Rubber band ligation of hemorrhoids","alias":"rubber-band-ligation-of-hemorrhoids"}}]},{"card_text":"Dr. Centeno trained at Mayo Clinic's colorectal surgery department – a global leader in hemorrhoid treatment. He brings _doctor_8374_years_ of specialized experience to Centro Médico Teknon.
Dr. Xavier Centeno Fornies is a colorectal and gastrointestinal surgeon at Teknon Medical Center. He completed specialized training at the Mayo Clinic in Rochester, USA. Dr. Centeno focuses on treating hemorrhoids, hernias, and gastrointestinal tumors. His practice at Teknon is supported by the clinic's JCI and EFQM quality accreditations.
Centro Médico Teknon is a private multi-specialty medical center in Barcelona, Spain, and part of Quirónsalud, Spain’s largest private hospital group. The center specializes in neurosurgery, orthopedics, oncology, and heart surgery, with expertise also covering cardiology, fertility, ophthalmology, and advanced diagnostics. JCI accredited and recognized as one of Barcelona’s leading private hospitals, Centro Médico Teknon treats complex cases and welcomes international patients, including public figures, athletes, and celebrities. The center serves adults only and welcomes around 10,000 patients each year, with patients most often coming from Russian-speaking countries, Europe and the Commonwealth, the USA, Canada, and Australia.
\n","images":[{"base_url":"clinic/5c87be3904761","title":"Centro Médico Teknon clinic exterior with grand staircase in Barcelona, Spain"},{"base_url":"clinic/5ab24c738630b","title":"Centro Médico Teknon clinic facade with landscaped garden in Barcelona, Spain"},{"base_url":"clinic/5ac3164cd87d2","title":"Medical team in front of Centro Médico Teknon clinic building in Barcelona, Spain"},{"base_url":"clinic/5ac3156221add","title":"Centro Médico Teknon clinic entrance in Barcelona, Spain"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Spain","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Barcelona","id":98,"alias":"barcelona"},"address":"Carrer de Vilana, 12, 08022 Barcelona, Spain"},"rating":{"rating":4.7,"google":3.5,"percent_of_satisfied_clients":93},"statistics":{"number_of_reviews":497,"doctors_number":400,"year_foundation":1994},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db98320c06c8.jpeg","name":"European Foundation for Quality Management","country_code":"BE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5df778168a0e7.jpeg","name":"THE IMTJ MEDICAL TRAVEL AWARD WINNER IN 2019","country_code":"GB"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa15d1e46dd.jpeg","name":"Patient choice in Neurology","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa164eddd5f.jpeg","name":"Patient choice in Neurosurgery","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa16d49cbac.jpeg","name":"Patient choice for Epilepsy treatment","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"World's Best Hospitals 2021 by Newsweek","country_code":"US"}]}},{"card_text":"Heads the Colorectal Surgery Department at Sourasky Medical Center – a leading specialist in minimally invasive approaches.
The doctor is an abdominal surgeon specializing in both open and minimally invasive procedures, including Whipple surgery. With over 20 years of experience, the doctor leads the Colorectal Surgery Department at Sourasky Medical Center, demonstrating expertise in advanced surgical techniques and patient care.
","specialities":[{"id":"sur.006","name":"Colorectal surgeon","illness_kind_id":33},{"id":"sur.007","name":"Surgical oncologist","illness_kind_id":33},{"id":"sur.009","name":"Gastrointestinal surgeon","illness_kind_id":33}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":1,"alias":"sourasky-medical-center","name":"Sourasky Medical Center (Ichilov)","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/1-6ac3c0e614474.png","short_description":"Sourasky Medical Center (Ichilov) is the largest multidisciplinary hospital in Israel and a JCI-accredited facility. It has been named a top medical tourism destination by Newsweek. Its core strengths are oncology, onco-hematology, neurosurgery, and rehabilitation.
Dr. Goldman heads the Proctology Department at Sourasky Medical Center, bringing _doctor_457_years_ of surgical experience.
Dr. Gideon Goldman is the Deputy Head of Surgery and Head of Proctology at Sourasky Medical Center. He specializes in colorectal and gastrointestinal surgery. Dr. Goldman treats complex conditions like sigmoid adenocarcinoma and pancreatic cysts. He works at Ichilov Hospital, ranked among the world's most popular clinics by Newsweek.
Sourasky Medical Center (Ichilov) is the largest multidisciplinary hospital in Israel and a JCI-accredited facility. It has been named a top medical tourism destination by Newsweek. Its core strengths are oncology, onco-hematology, neurosurgery, and rehabilitation.
Director of The Colon and Rectum Surgery Unit at Sourasky Medical Center, specializing in both complex colorectal conditions and common anal disorders like hemorrhoids.
Dr. Hagit Tulchinsky is the Director of the Colon and Rectum Surgery Unit at Sourasky Medical Center. She specializes in oncoproctology and leads the General Surgery Division at this JCI-accredited facility. Dr. Tulchinsky focuses on treating colorectal cancer and inflammatory bowel diseases like Crohn's. She works at a hospital ranked among the top 10 for medical tourism by Newsweek.
Sourasky Medical Center (Ichilov) is the largest multidisciplinary hospital in Israel and a JCI-accredited facility. It has been named a top medical tourism destination by Newsweek. Its core strengths are oncology, onco-hematology, neurosurgery, and rehabilitation.
Dr. Marco Sariñana has performed 2,000+ weight loss surgeries and 1,000 cosmetic procedures. He is a dual specialist at Hospital de la Familia in Mexicali. Dr. Sariñana specializes in combining bariatric and aesthetic surgeries for full body transformations. He serves as Secretary of the National Council of Aesthetic Surgery.
Hospital de la Familia is a boutique medical facility 200 yards from the US-Mexico border. It specializes in gastroenterology, cardiac surgery, and neurosurgery. The hospital is accredited by the General Health Council of Mexico.
Dr. Guner Cakmak is a general surgeon at Lokman Hekim University İstanbul Hospital. He specializes in laparoscopic, bariatric, and metabolic surgeries. Dr. Cakmak has published over 40 articles in international journals. He has received 9 prizes recognizing his surgical work. He performs complex procedures including metabolic surgery and Whipple procedures.
Bookimed is a pediatric medical center in Turkey that treats 20,000 children each year. Its core specialties are neurosurgery, orthopedics, and cardiology.
Centrum Medyczne doktorA is a multispecialty outpatient clinic in Warsaw, Poland. It runs two locations in the Wesoła and Targówek districts. The center treats both adults and children. Main specialties include phlebology, cardiology, and gastroenterology. Pediatric services cover vaccinations, check-ups, and specialist visits.
The clinic has performed over 1,500 laser vein closure procedures. Founded in 2007, it employs 26 doctors. Dr. Adam Zieliński heads the vascular surgery unit with 25 years of experience. Team members trained at major Polish and German medical universities. Several doctors belong to the European Society for Vascular Surgery.
Centrum Medyczne doktorA holds the Patient-Friendly Facility certificate. It uses laser endovenous thermal ablation to treat varicose veins. Diagnostics include MRI, CT scans, and 24-hour Holter monitoring. Modern endoscopy rooms support gastroscopy and colonoscopy. Induction-loop microphones at reception help hearing-impaired patients.
","images":[{"base_url":"clinic/6a7304851ba20","title":"Centrum Medyczne doktorA clinic exterior with modern facade in Poland"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Poland","id":17,"alias":"poland","iso_code":"PL"},"city":{"name":"Warsaw","id":18,"alias":"warsaw"},"address":"Trakt Brzeski 57B/3, 05-077 Warszawa"},"rating":{"rating":3.3,"google":4.1,"percent_of_satisfied_clients":66},"statistics":{"number_of_reviews":3},"accreditations":[]}}},{"image_count":0,"images":[],"offer":{"id":"679364978b9e913c4203a702","name":"Rubber Band Ligation of Hemorrhoids — Walk-In, Walk-Out 5-Minute Treatment","type":"illness","tags":[],"for_who":"Dr. Yasir Gozu is a renowned specialist in non-surgical hemorrhoid treatment. His clinic, Avrupa Cerrahi Proctology Center, has focused on proctology for over 20 years, treating around 1,700 patients annually. The quick 5–8 minute rubber band ligation procedure is a walk-in, walk-out experience. For approximately _offer_price_, the package covers consultation, the treatment itself, and access to a coffee zone and parking at the clinic.
","clinic_entity_text":"Avrupa Cerrahi Proctology Center specializes in non-surgical hemorrhoid treatments with _doctor_9312_years_ of experience and 1,700+ patients annually. Rubber band ligation may cost around $3,600. Dr. Yasir Gozu, a proctology specialist since 2002, focuses exclusively on non-surgical treatments for hemorrhoids and related conditions. He trained at Haseki Training and Research Hospital and has extensive expertise in minimally invasive solutions.
Dr. Yasir Gozu is a general surgeon at Avrupa Cerrahi Proctology Center in Istanbul. He specializes in non-surgical treatments for hemorrhoids and pilonidal sinus. Dr. Gozu completed his medical training at Eskisehir Osmangazi University. He later specialized in general surgery at Haseki Training and Research Hospital.
Avrupa Cerrahi Proctology Center pioneered non-surgical proctology treatments in Turkey. The clinic treats anorectal diseases with minimally invasive care. It has served over 1,700 patients annually for over 20 years.
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"},"ES":{"amount":7500,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":true,"AT":false,"ES":true},"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"},"ES":{"amount":5000,"max_amount":5500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"UA":true,"FR":false,"GB":false,"US":false,"IL":false,"TR":true,"MX":false,"DE":false,"CA":false,"AE":false,"TH":false,"PL":true,"KR":false,"CZ":true,"AT":false,"ES":true,"IT":false,"CN":false,"AU":false,"IN":false,"MY":false,"VN":false,"BR":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"},"ES":{"amount":5500,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":true}},"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"},"ES":{"amount":6100,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":true}},"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"},"ES":{"amount":3300,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"offer","scope":"country"}},"available_clinics":{"US":false,"TR":false,"TH":false,"AT":false,"ES":true}}}},"operationIndicators":{"details":{"anesthesia":"local","days_in_clinic":1,"days_in_country":1,"rehabilitation_days":1,"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":["none"],"back_to_work_days":{"min":0,"max":2,"unit":"days","qualifier":"Most people resume desk work the same or next day; longer if significant discomfort."},"complication_rate_pct":{"min":2,"max":10,"unit":"percent","qualifier":"Significant complications (severe pain, delayed bleeding, retention, thrombosis); sepsis under 0.1%. Mild pain is more common."},"contraindications":["Anticoagulant/antiplatelet therapy or bleeding disorder (relative; specialist assessment needed)","Thrombocytopenia or coagulopathy","Severe immunosuppression or neutropenia","Acute anorectal sepsis or thrombosed/strangulated external hemorrhoids","Grade IV (irreducible) hemorrhoids or large external component","Severe anal fissure or untreated anorectal IBD (relative)","Portal hypertension with rectal varices (relative)","Latex allergy if latex bands are used"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Performed as an office/clinic procedure with no overnight stay."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":0.5,"max":1,"unit":"weeks","qualifier":"Strenuous exercise and heavy lifting usually avoided for several days to a week."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"After the course of banding sessions; symptom relief builds as banded tissue sloughs and fixes."},"fly_home_after_days":{"min":1,"max":2,"unit":"days","qualifier":"Short flights usually fine next day; delayed bleeding risk peaks days 5-14, so clinicians may advise waiting."},"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":14,"max":42,"unit":"days","qualifier":"Review of response and, if needed, next banding session."}},{"purpose":"other","requirement":"conditional","after":{"min":1,"max":14,"unit":"days","qualifier":"Urgent review for heavy bleeding, severe pain, fever or urinary retention."}}],"indications":["Symptomatic grade I–III internal hemorrhoids with bleeding or prolapse","Hemorrhoids not controlled by diet, fiber and medical measures"],"main_risks":["Pelvic or anal pain and rectal fullness/tenesmus","Bleeding, usually at band slough (days 5–14), occasionally significant","Urinary retention","Vasovagal reaction","Thrombosed external hemorrhoid","Rare pelvic sepsis: severe pain, fever, retention need urgent care"],"pain":"Usually mild to moderate: dull ache or pressure for 1–3 days, controlled with simple analgesics and sitz baths; severe pain is a warning sign.","preparation":["Anoscopy to confirm internal hemorrhoids and exclude other pathology","Colonoscopy considered per age/risk or bleeding evaluation","Review of bleeding risk and medications with the clinician","Often no bowel prep or an enema only","Avoid constipation; fiber and fluids"],"recovery_timeline":[{"phase":"Day 0–4","description":"Rectal pressure or mild ache; light activity possible.","restrictions":["Avoid straining","Avoid heavy lifting"]},{"phase":"Day 5–14","description":"Band falls off with a small amount of bleeding or spotting possible; report heavy bleeding or fever urgently.","restrictions":["Avoid heavy lifting until about day 7","Avoid constipation and prolonged straining"]},{"phase":"Weeks 2–6","description":"Healing of the ulcer at the banding site and symptom improvement.","restrictions":[]}],"rehabilitation_days":{"min":1,"max":3,"unit":"days","qualifier":"Return to ordinary function after a single banding session."},"result_longevity":"Symptom relief often lasts several years, but hemorrhoids can recur in roughly 10-30% of patients within 5 years. Constipation, straining and low fiber intake shorten results; repeat banding is possible.","revision_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Repeat banding or further treatment for recurrent symptoms within about 5 years."},"scars":"No external incisions or visible scars; a small mucosal ulcer heals internally.","sessions_or_stages":{"sessions":{"min":1,"max":3,"unit":"visits","qualifier":"Typical course of banding visits; often 1–2 hemorrhoids banded per session, depending on practice."},"stages":[{"code":"first_banding","label":"First banding session","after":{"min":0,"max":0,"unit":"days","qualifier":"Initial session."}},{"code":"repeat_banding","label":"Repeat banding if symptoms persist","after":{"min":14,"max":42,"unit":"days","qualifier":"Interval commonly 2–6 weeks after the first session."}}],"qualifier":"Number of sessions depends on the extent of disease and individual response."},"success":{"metric":"Symptom improvement (bleeding/prolapse control)","value":80,"unit":"percent of patients","horizon":"1-3 months after banding course","population":"Adults with symptomatic grade I–III internal hemorrhoids","evidence_status":"limited"},"techniques":[{"name":"Suction rubber band ligation via anoscope","suits_whom":"Adults with symptomatic grade I–III internal hemorrhoids.","recovery":"Same-day return home; mild discomfort for a few days."},{"name":"Forceps-assisted rubber band ligation via anoscope","suits_whom":"Adults with grade II–III hemorrhoids that suction captures poorly.","recovery":"Same-day return home; mild discomfort for a few days."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.1,"max":0.25,"unit":"hours","qualifier":"Per banding session, about 6–15 minutes."},"initial_assessment_documents":["Proctology or anoscopy exam report","Recent colonoscopy report","List of blood thinners","Recent hemoglobin blood test"],"travel_trips":{"min":1,"max":3,"one_trip_possible":true,"qualifier":"One session fits a 2-3 day trip; each repeat banding 2-6 weeks later needs another trip or extended stay."},"clinic_checks":{"status":"ok","items":[{"id":"C1","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":"C2","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":"C3","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":"C4","text":"Ask whether the surgeon and the facility use a surgical safety checklist, which can reduce complications","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Do the surgeon and his/her facility use a safety checklist?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Decide before you travel where check-ups after the operation will take place, because follow-up abroad may be missing or weaker","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You need to think about where check-ups will take place.","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 that does not stop","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/conditions/piles-haemorrhoids/treatment/","host":"nhs.uk","quote":"you are bleeding non-stop","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Severe pain after banding","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/hemorrhoid-banding","host":"my.clevelandclinic.org","quote":"Bleeding from your rectum Fever or chills Severe pain","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Unusual discharge from your rectum","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/hemorrhoid-banding","host":"my.clevelandclinic.org","quote":"Unusual discharge from your rectum","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Fever or chills","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/procedures/hemorrhoid-banding","host":"my.clevelandclinic.org","quote":"Bleeding from your rectum Fever or chills","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":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge 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