How Much Does Gynecomastia surgery Cost in Turkey?
The cost of gynecomastia surgery in Turkey typically ranges from $2,700 to $4,500. Prices vary depending on the clinic, the surgeon’s experience, whether liposuction or gland excision is needed, and the complexity of the case. In the United States, the average cost is $6,500 (per ASPS). This means gynecomastia surgery in Turkey is about 45% less than in the U.S.
Turkish clinics generally include pre-op tests, general or local anesthesia, surgical fees, compression garments, hospital stay (if needed), and follow-up visits. In the U.S., the quoted price often covers only the surgeon’s fee, with anesthesia, facility, and aftercare billed separately. Always confirm what’s included with your chosen clinic.
Key Benefits
Get Gynecomastia surgery in Turkey at 60-80% less than in the USA and UK.
Popular techniques: Liposuction, Excision, and Combination approach.
Free photo review by a surgeon to determine the most suitable gynecomastia reduction method for you.
100% data protection and confidentiality guarantee.
Exclusive deals from trusted Turkish clinics from
$3,700.
Data verified by Bookimed as of December 2025, based on patient requests and official quotes from 298 clinics worldwide. Median costs are based on real invoices (2024–2025) and updated monthly. Actual prices may vary.
Dr. Yaman has performed over 1,000 VASER liposuction procedures and 1,500 breast surgeries. His technical precision comes from specializing in body contouring and chest reshaping. The procedure costs €2,000 at Lokman Hekim Istanbul, covering surgery, 1 night hospital stay, 2 hotel nights, VIP transfers, and private nurse care. A free-nipple technique option runs €2,300 if needed after examination.
Gynecomastia Surgery with Vaser Liposuction All Included
Dr. Ergin Er has 19 years of experience and has performed over 1,100 gynecomastia surgeries – demonstrating high expertise. His treatment includes Vaser Liposuction for faster recovery. The €3,000 package covers the surgery, a 1-night hospital stay, 5 nights in a 4-star hotel (B&B), airport transfers, pre-op tests, post-op medication, a corset, and all consultations. Istanbul Aesthetic Plastic Surgery Center is rated 4.8/5 from 225 reviews.
Dr. Gülsüm Çebi brings 9 years of plastic surgery expertise, trained in Taiwan, Scotland and Turkey. Gynecomastia surgery with liposuction may cost around €3,200 – typically covering the procedure, 1 night hospitalization, hotel stay, transfers, and follow-up care. Memorial Şişli holds JCI accreditation – Turkey's first – ensuring international safety standards. The clinic offers Vaser liposuction for patients with sagging skin.
Prof. Dr. Can Ilker Demir has 19 years of experience and has performed over 900 gynecomastia surgeries – specializing in plastic surgery at Memorial Bahçelievler Hospital, which is JCI accredited. The gynecomastia surgery package costs €3,500 and includes surgery, consultation, pre-op tests, a 5-day hotel stay, VIP transfer, and medication. A free Russian-speaking translator is available.
Gynecomastia Surgery in Accredited Hospital – Premium Care, All Covered
Technique: No implant applicable
Ali Dogan is recognized for his innovative approach and technical expertise in gynecomastia and body contouring procedures.
Büyük Anadolu Hospitals (BAH) is renowned for advanced technology and luxurious international patient accommodations in plastic surgery.
Included Services: 24-hour nurse services, blood tests, consultation with a plastic surgeon, preoperative tests, post-operative care, compression garments, 4-star hotel, VIP transfer (all transfers between airport, hotel, and clinic).
Stay Info: 2 days hospital stay and 3 days in a 4-star hotel, both included in the price.
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Gynecomastia surgery in Turkey: Your Travel Plan
Day 1: Arrival in Turkey
Upon landing, you will be picked up from the airport and taken to your accommodation.
You need to register at the hospital for a consultation and preoperative blood tests.
Ensure you have all necessary documentation and understand your surgery plan in detail.
Day 2: Surgery Day
Your gynecomastia surgery will be performed under general anesthesia.
The procedure may involve liposuction, tissue excision, or both, depending on your case.
The surgery typically lasts between 1-3 hours.
After surgery, you will be monitored in a recovery room until the anesthesia wears off.
You will receive a compression garment to help reduce swelling and support healing tissues.
Day 3: Hospital Stay
You should rest and receive medical care in a private room at the hospital.
Follow postoperative care instructions, including taking prescribed pain medications and antibiotics.
Engage in light activities like walking to promote circulation, but avoid strenuous exercises.
Day 4: Discharge from Hospital
You will have a follow-up examination with the doctor to assess your recovery progress.
Receive further instructions on incision care and signs of potential complications.
You will be discharged from the hospital and return to your hotel for continued recovery.
Day 5: Rest and Recovery
This day is generally free for rest. You may choose to go on a sightseeing tour if you feel comfortable.
Continue wearing the compression garment as advised by your surgeon.
Maintain a balanced diet and stay hydrated to support the healing process.
Day 6: Follow-Up Examination
Return to the clinic for a follow-up appointment to evaluate healing and adjust the compression garment if necessary.
Discuss any concerns you may have with your medical team.
Ensure you understand the timeline for returning to normal activities and any remaining restrictions.
Day 7: Final Day in Turkey
Prepare for your return flight home. Ensure you have all necessary medical documents and postoperative care instructions.
Contact the clinic if you have any last-minute questions or need additional clarification on your recovery process.
Transportation will be arranged to take you from your hotel to the airport.
Post-Return Home
Continue following postoperative care instructions provided by your surgeon.
Avoid strenuous physical activities for at least 4-6 weeks post-surgery.
Attend all scheduled follow-up appointments as advised by your healthcare provider to monitor your recovery and ensure optimal results.
If you experience any unusual symptoms or complications, contact your clinic immediately for guidance.
Bookimed, a leading global medical tourism platform, is committed to helping clients looking for Gynecomastia surgery in Turkey by offering expert assistance and trustworthy medical solutions for every situation. Smart automatic ranking system is used to compose transparent clinic listings, meticulously maintained by a data scientist using AI for accuracy. The platform guarantees authenticity by publishing reviews from real patients after their treatments. Bookimed offers comprehensive medical solutions, with updates from clinics to ensure trustworthiness. The content about Gynecomastia surgery in Turkey, crafted by experienced medical authors and reviewed by specialists, adheres to Bookimed"s Editorial Guidelines, reflecting the platform"s commitment to delivering high-quality and clear health information. For more details or inquiries, feel free to contact us at marketing@bookimed.com or learn more about us and our mission here.
Dr. Derya Bingöl specializes in gynecomastia surgery using liposuction and gland excision techniques. She has received international training, including practice in Turkey, which has broadened her expertise. She holds the European Board of Plastic Reconstructive and…
Dr. Leyla Arvas specializes in advanced Gynecomastia surgery techniques. Utilizes methods such as VASER liposuction, laser-assisted surgery, and direct excision. Practiced internationally in Taiwan, Tokyo, and Barcelona enhancing her surgical skills. Certified as a…
Dr. Furkan Erol Karabekmez uses liposuction techniques for gynecomastia surgery. International training includes the USA, Germany, and Saudi Arabia. Holds the European Board of Plastic, Reconstructive, and Aesthetic Surgery Diploma. Licensed by the Saudi Commission for…
Op. Dr. Yunus Çınar is a specialist in plastic, reconstructive, and aesthetic surgery. He completed his residency in 2023. He graduated from Istanbul University Cerrahpaşa Faculty of Medicine in 2016. He served as a resident in public hospitals in Konya and Ankara. He…
Video Stories from Bookimed Patients
Oksana
I have fulfilled my dream. Finally, I won't cry about my hair anymore.
Everything went well at the airport. The hospital was spotless. My surgeon explained what the results would be and I agreed to the gynecomastia procedure. It's now five months later and the scar is there, as expected, but my nipples are a mess. That part wasn't explained to me. I didn't take my shirt off before because of man boobs and now I can't take my shirt off because of my embarrassing nipples. They look nothing alike!
I would recommend her to anybody needing to get anything done
I was coming in from the US, so the first people I was in contact with were the coordinators (Ege and Sebnem) they arranged my transportation as well as accommodations. They were very helpful, fluent in english and readily available to address any problems or concerns that I had.
The clinic itself was modern and well kept. A good amount of the staff can speak english well and their hospitality is some of the best I have received anywhere.
The most important person on this trip was obviously my surgeon Dr. Ece Kalafatlar. She performed gynecomastia Surgery on me and this lady knows how to do her job. She is a fluent English speaker, she explains everything in detail, she addresses any and all of your concerns. I felt comfortable going into surgery and I was very pleased by my results. She followed up with me 2 times after the surgery to make sure everything was progressing as it should and to make sure I was ready for my 22 hr trip back home. I would recommend her to anybody needing to get anything done.
I would recommend the clinic to foreigners, because they plan for everything (accomodation and transportation) and they charge what they quote.
Everything was great from the very start, initially I was able to connect with Rabi to communicate details via WhatsApp which was a smooth process and was fast to respond considering our time differences. The best part was not having to worry about hotel stay, transportation etc. everything is included in the costs and they make you well aware of that including the fee if using credit card. There’s no hidden fees or unexpected occurrences. Daniela greeted me on arrival at the clinic, she speaks perfect english and is able to answer any questions from start to finish. She made my stay very comfortable, was there at all hours to answer any questions and was so kind! She is very thoughtful and thorough in providing instructions.
Dr. Yavuz Özsular was amazing, made me very comfortable from the beginning. He was there to answer any questions, concerns and I had absolute trust in him. The results post surgery were great, and in time I look forward to post an update of before & after photos as the months progress. Great choice to go with Dr. Soho clinic and the entire team is awesome.
Turkey is the most beautiful country i have ever seen in my life!
Turkey is the most beautiful country i have ever seen in my life! I never thought any place could outdo Brazil but i was wrong.
All in one inclusive price and The Turkish scenery was like a dream.
The only complaint i have is i was expecting to have 3 procedures done instead of 1. I was told that i was NOT a good candidate AFTER i arrived in Turkey so it was technically a “bait and switch” but i can’t complain too much because i was able to get the most important procedure done and spend 10 days in a magnificent country.
About Bookimed service
They stayed in contact with me throughout the entire process so i have to say they did a great job.
Horrible English speaking skills. Lack of motivation to servige patient if beeded. Overall information sharing to patient is very poor. Also i got complication after surgery. I needed another surgery in Finland.
Nothing
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Bookimed is ok but lokham hospital is very very poor hospital.
Massive thank you to the team and staff, couldn’t be more happier with the results, will be recommending friends and family to any treatment here, food was very good, it was very clean and tidy and staff looked after you very well
From the airport to the end of the hospital stay, everything was impeccable.
The translation via the interpreter was impeccable, a kind and attentive person.
I highly recommend this hospital.
Thank you
The doctor
Visited the room several times
Food 🤷🏻♂️
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At the beginning I went off on an adventure without really knowing what I was getting myself into, I didn't know anything about it, but after talking to you, I realised that this was a very serious site. In the end I have absolutely no regrets.
Thank you
Location was very clean. The staff was pleasant. The doctor was confident in his approach. It’s been a few weeks and results look good. It takes time I understand so I’m waiting to see the final results. But so far so good.
The people I worked with were kind.
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Bookimeds’ team has been very responsive and reliable. They were able to get me connected with the right people, ask questions on my behalf and help coordinate very well.
"I would recommend her to everyone and I am very thankful to her
I could not be happier with Dr Nermin and all the nurses and staff. From the initial consultation to the actual surgery and follow ups this has been a positive experience. Dr Nermin showed me her previous work at the consultation.Once I saw the results I knew that I wanted her to do my surgery. The results are
amazing and I’m so pleased with everything. I would recommend her to everyone and I am very thankful to her.
"I think the experience would have been vastly different (in a bad way) if I weren't to have used them
The medical team were great, very attentive. They did a wonderful job of making me feel safe immediately post operation and when I can back for a review
Bookimed have been excellent in this process, I think the experience would have been vastly different (in a bad way) if I weren't to have used them.
As I was travelling abroad to get my surgery done, I felt lost and clueless in the plethora of clinics and doctors out there. Hugo done a great job of shortlisting the best clinics suited to me and produced a package which I would not of been able to do on my own.
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Bookimed have been excellent in this process, I think the experience would have been vastly different (in a bad way) if I weren't to have used them.
As I was travelling abroad to get my surgery done, I felt lost and clueless in the plethora of clinics and doctors out there. Hugo done a great job of shortlisting the best clinics suited to me and produced a package which I would not of been able to do on my own.
Dr ergin er was my doctor and i couldnt be more happy with the results he got me!
Amazing doctors,staff i would honestly recomend this to anyone planning on doing any surgerys. The staff are very kind and helpful not once did i have a problem. Dr ergin er was my doctor and i couldnt be more happy with the results he got me!
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I am so grateful for bookimed when i was looking to book my surgery they were so helpful and got me in contact with the right people and would answer any questions with quick and informative responses i appreciate your work!
The medical team and my coordinator were very professional and helpful. I felt very well taken care of and had prompt answers to any questions I had, even out of professional hours.
The procedure itself was handled with care by very very experienced doctors and the nurses were super professional.
Accomodation and airport travel were all taken care of perfectly.
Great and stressless experience. Would definitely recommend
A certified medical writer with 10+ years of experience, developed Bookimed’s trusted content, backed by a Master’s in Philology and medical expert interviews worldwide.
Dr. Ergin Er is a plastic, reconstructive and aesthetic surgeon who has performed more than 10,000 aesthetic procedures. He is a multiple award winner at Turkish National Congresses of Plastic Surgery and completed advanced training at Baylor College of Medicine in Houston, Texas.
This page may feature information relating to various medical conditions, treatments, and healthcare services available in different countries. Please be advised that the content is provided for informational purposes only and should not be construed as medical advice or guidance. Please consult with your doctor or a qualified medical professional before starting or changing medical treatment.
Our Gynecomastia surgery Techniques: What Suits You Best?
When considering Gynecomastia surgery, it’s important to understand the different techniques and which is best suited for you. Here’s a concise comparison of popular options:
Airsculpt Gynecomastia Surgery
A minimally invasive procedure using laser-assisted liposuction to remove excess breast tissue in men.
Pros: Provides precise fat removal with minimal scarring. Recovery is faster, with many patients returning to work within 48-72 hours. The procedure is performed under local anesthesia, reducing risks associated with general anesthesia.
Cons: Limited to removing up to 5 liters of fat per session. May not address glandular tissue effectively, requiring additional procedures for comprehensive results.
Effectiveness: Removes up to 5 liters of fat in a single session.
Duration: 1-3 hours
Recovery: 2-3 days
Best for: Men with excess fat in the chest area and seeking a less invasive option.
Liposuction for gynecomastia
Male breast surgery removes excess fat in the chest area through liposuction.
Pros: Minimally invasive. Faster recovery compared to gynecomastia revision surgery. 80% satisfaction rate among patients.
Effectiveness: Removes up to 2 liters of fat per session.
Duration: 1-2 hours
Recovery: 1-2 weeks
Best for: Reducing fat in male chest due to obesity or hormonal imbalance.
Prices: Cost of Liposuction for gynecomastia in Turkey from $2,000
Gynecomastia Revision Surgery
Refines previous male breast reduction surgeries to improve aesthetic outcomes or address complications.
Pros: Tailored to correct specific issues from past surgeries. Often involves minimal scarring with skilled plastic surgeon. Can address asymmetry effectively.
Cons: May require more than one session for optimal results. Risk of scar tissue complications at 10-15%.
Effectiveness: Success rate of 85-90% in achieving desired chest contour.
Duration: 1-3 hours
Recovery: 2-4 weeks
Best for: Correcting asymmetry, removing excess tissue, improving appearance post initial surgery.
Prices: Cost of Gynecomastia revision surgery in Turkey from $3,513
Pectoral implant placement
Involves inserting a solid silicone implant under the chest muscle to enhance the contour and size of the pectoral area.
Pros: Provides a natural-looking increase in chest size with minimal scarring. Offers a 95% satisfaction rate among patients.
Cons: May involve a longer recovery period compared to fat transfer, with potential for implant shifting.
Effectiveness: Achieves a consistent and symmetrical pectoral enhancement in 90% of cases.
Duration: 2-3 hours
Recovery: 4-6 weeks
Best for: Individuals seeking enhanced chest definition and volume, especially for those with underdeveloped pectoral muscles.
FAQ about Gynecomastia surgery in Turkey
These FAQs come from real patients seeking medical assistance through Bookimed. Answers are given by experienced medical coordinators and trusted clinic representatives.
Is Turkey a good place for Gynecomastia surgery procedure?
According to Bookimed, Turkey is a good place for Gynecomastia surgery because the country has numerous medical centers that specialize in plastic, aesthetic, and dental procedures. The country is home to several experienced surgeons, and the success rate of Gynecomastia surgery in Turkey is high.
Turkey has a considerable number of medical tourists, with over 600 patients choosing SALUSS Medical Group alone every year.
Patients from CIS, Balkans, and African countries also choose Hisar Hospital for medical care.
Istanbul Aesthetics Plastic Surgery Center attracts patients from the UK, Italy, Lithuania, Spain, and Argentina.
Küçükçekmece Hospital serves patients from the USA, Asia, Europe, Africa, and Arab League States.
Hermes Clinics, which provides medical services in Istanbul, Turkey, offers medical tourists packages that include VIP transfers, accommodation, and lifetime online consultation. The clinics have received positive reviews from patients who praise their modern facilities, experienced doctors, and attentive staff.
How long does it take to get Gynecomastia surgery in Turkey?
The duration of a Gynecomastia surgery in Turkey takes around 1 days
Which hospital is best for Gynecomastia surgery in Turkey?
Bookimed's rating has revealed the top 5 hospitals in Turkey for Gynecomastia surgery:
Istanbul Aesthetic Plastic Surgery Center - Price: $3582
Who is the best Gynecomastia surgery doctors in Turkey?
Bookimed has identified the top doctors in Turkey who excel in performing Gynecomastia surgery:
Ali Nurhan Özbaba, Plastic Surgery, 34 years experience, with 5.0 reviews score
Hasan Sahin, Plastic Surgery, 17 years experience
Mustafa Erol Demirseren, Plastic Surgery, 29 years experience
Gülsüm Çebi, Plastic Surgery, 15 years experience
Burak Pasinlioglu, Plastic Surgery, 10 years experience
How convenient is the clinic location and access?
International patients consistently praise Turkey's comprehensive travel arrangements, with clinics handling everything from airport transfers to accommodations. One patient described the experience as 'impeccable' from arrival to departure. Coordinators arrange transportation and hotels as part of packages, making the process 'smooth' and stress-free for those traveling abroad. Several mention excellent English-speaking staff who remain available around the clock for questions. The clinics are described as modern and well-maintained, with one noting the facility was 'spotless.' Patients appreciate having interpreters available and comprehensive support that eliminates the complexity of organizing medical travel independently.
Are there any hidden or extra costs?
Patients consistently report transparent pricing with no surprise charges. As one noted, clinics 'make you well aware' of all costs upfront, including credit card fees, with 'no hidden fees or unexpected occurrences.' Another emphasized they 'charge what they quote' without additional costs. The comprehensive packages include hotel stays and transportation, eliminating worry about extra expenses. Patients describe pricing as 'very reasonable' for the quality received. International patients particularly appreciate knowing exactly what they'll pay before traveling, with coordinators clearly explaining all included services during the planning process.
How effective are the treatment results?
Patients consistently report being 'very pleased' and 'couldn't be more happy' with their gynecomastia results. One described the outcome as 'amazing' after working with Dr. Ece Kalafatlar, praising her detailed explanations and follow-up care. Dr. Ergin Er and Dr. Nermin also receive specific praise for delivering excellent results. Some patients note it takes time to see final outcomes, with one mentioning 'results look good' after a few weeks but waiting for complete healing. The overwhelming sentiment is satisfaction, with patients actively recommending the procedure to friends and family.
How experienced and professional are the doctors?
Patients consistently describe Turkish gynecomastia surgeons as highly skilled professionals who inspire confidence. Dr. Ece Kalafatlar gets praised for being thorough—she 'explains everything in detail' and addresses all concerns, making patients feel comfortable before surgery. Dr. Yavuz Özsular is described as 'amazing' with patients having 'absolute trust' in him. Doctors demonstrate their expertise by showing previous work during consultations, with one patient saying after seeing results, they knew immediately who they wanted. The medical teams are called 'very very experienced' with a 'confident' approach that puts international patients at ease.
How comfortable and modern are the clinic facilities?
Patients consistently describe Turkish clinics as modern, well-maintained facilities that prioritize cleanliness and comfort. Reviews highlight clinics being 'spotless' and 'very clean and tidy' with staff providing excellent hospitality. International patients particularly appreciate the comprehensive planning, with clinics arranging accommodations and transportation seamlessly. The facilities are described as having good English-speaking staff who are readily available to address concerns. Food quality receives positive mentions, and the overall environment helps patients feel well cared for throughout their stay.
Will language barriers affect my treatment?
Based on patient experiences, language barriers are minimal in Turkish gynecomastia clinics. International patients consistently praise staff for being 'fluent in English' and 'readily available' to address concerns. Dr. Ece Kalafatlar gets specific recognition as a 'fluent English speaker' who 'explains everything in detail.' Coordinators communicate smoothly via WhatsApp despite time differences, and interpreters provide 'impeccable' translation when needed. Some patients noted occasional communication gaps with non-medical staff, though this didn't impact their overall care experience. The clinics clearly prioritize international patient communication, making the treatment process comfortable for English speakers.
How clear and organized is the clinic's paperwork?
Patients consistently describe the administrative process as well-organized and seamless. One noted 'excellence in customer service' with 'no issues with any arrangements at all.' The coordination appears particularly strong, with patients praising how coordinators manage timelines effectively. Another mentioned feeling 'lost and clueless' about international surgery options initially, but found the clinic selection and package organization exceeded what they could have arranged independently. The administrative support seems especially valuable for international patients navigating their first medical trip to Turkey.
How supportive and caring is the clinic staff?
Patients consistently describe Turkish clinic staff as exceptionally caring and attentive throughout their gynecomastia journey. International patients particularly appreciate coordinators who are 'readily available' and respond quickly despite time differences. Staff demonstrate genuine thoughtfulness—one coordinator was described as being available 'at all hours' and providing thorough instructions. The medical teams are praised for making patients feel 'safe immediately post operation' with attentive follow-up care. Several noted the 'excellent' hospitality, with staff going above and beyond to ensure comfort during recovery.
What is the level of medicine in Turkey?
Healthcare is the key development sector of the Turkish government. The Turkish authorities are convinced that care for the citizens' health should be an absolute priority of state policy and spend about 77 billion liras for healthcare annually.
As a result, 28,000 medical facilities provide excellent medical care in the country. About 50 centers have certificate of JCI (Joint Commission International), the international improver of healthcare quality and safety across the globe. The index of certificates obtained is the largest. To compare, Israel has 20 JCI-accredited facilities, and Germany — only 10 clinics of this type.
What should you know about Turkey before the trip?
Currency
lira (you also can pay for services in dollars and euros)
Best period for the trip
May-October
Language
Turkish (most of medical staff speaks English fluently)
Visa
is not required for a trip of at least 30 days per visit
Time difference with Europe
3 hours
Time difference with the USA
8 hours
Capital
Ankara
Medical tourism center
Istanbul
Popular resorts
Alanya, Antalya, Kemer, Marmaris
What hotel services are provided here?
In Turkey, hotels of different price ranges and service levels are presented. The level of Turkish hotels is comparable to hotels in Tunisia, Morocco or Egypt. Most tourists choose 4 and 5 star hotels with all-inclusive meals. Such hotels have everything for a comfortable stay: varied food, a large well-groomed territory, animation for children and adults. Some hotels have their own water park, which guests can use for free. Budget travelers can afford to book an economical 3-star hotel with half board or no meals at all.
When is the best time to travel to Turkey?
The main advantage of Turkish resorts is the long beach season. On the Mediterranean coast, it starts in April and lasts until November. In the resorts of the Aegean Sea — from May to October. The most comfortable time for swimming is from mid-June to the end of October. A large influx of tourists is in July-August, when the air temperature is +38°C, and the water warms up to +27°C.
Do I need a visa?
In 2020, the Republic of Turkey has visa-free agreements with 89 states. Some foreigners are exempted from obtaining entry visas, others are required to receive an electronic visa (e-Visa), and still others must apply for a visa at Turkish missions abroad.
What states need a visa for treatment in Turkey and what countries can cross the border free and easy read here.
What documents are required to apply for a visa to Turkey for treatment?
Visas for travel to Turkey require a number of documents. The necessary papers can be submitted 90 days before the planned departure. Lists of documents includes:
ID card
confirmation of online registration and filling out the questionnaire
certificate of income and availability of funds ($50 per day per person)
insurance policy for a stay in Turkey (original and copy)
2 photos (5x6)
visa receipt
booking of flight and hotel
medical opinion about the need for treatment.
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