The ninety days
Treatment should not end at the airport.
The riskiest part of getting treated abroad isn’t the operation. It’s week six, back home, when something doesn’t feel right and nobody who knows your case is reachable.
For ninety days after you return home, we coordinate the flow of information between you, the surgeon who treated you, and your own doctor. That means a written handover your own doctor can work from, scheduled follow-up calls with your operating surgeon, your medicines mapped to what your country stocks, and a named person you can reach.
This is care coordination. Your own doctor remains your treating doctor throughout. We do not diagnose, prescribe or treat.
The problem nobody sells against
Almost every part of this journey has someone selling it. Except this part.
Flights, visas, hotels, the hospital, the surgeon, the airport pickup. Every one of those has a business behind it that wants your booking.
Then you land back home. The company that arranged everything has been paid. The surgeon is eight thousand kilometres away and was never your regular doctor. And the doctor who is your regular doctor is looking at a discharge summary from a hospital they have never heard of, describing an operation they didn’t perform, with medication names they may not recognise.
At that point you’re on your own, holding a folder. This is the documented failure mode of medical travel, not a hypothetical one.
655
NHS patients were treated for complications from surgery performed abroad between 2011 and 2024. At least 53 percent of those cases were moderate to severe, and the cost ran from about 1,058 to 19,549 pounds per patient
BMJ Open rapid review, January 2026 Checked 2026-08-19.
The part patients don't expect
Why your own doctor may not want to take this on.
This is the question people raise with us most often, and it has a practical answer rather than a reassuring one.
A general practitioner or surgeon at home is being asked to take clinical responsibility for the results of an operation they didn’t do, didn’t plan, and can’t verify. They have no relationship with the surgeon. They often can’t tell what was implanted, which technique was used, or what the post-operative plan was supposed to be.
Faced with that, saying no isn’t obstruction. It’s a reasonable professional response to being handed incomplete information and open-ended liability.
So the answer isn’t to argue with your doctor. The answer is to give them what they need, in a form they recognise, before you turn up asking for help. That’s most of what this ninety days is for.
What the ninety days cover
Four things, and none of them glamorous.
A handover pack built for your doctor
Not a folder of photocopies. A structured written summary aimed at the person who will look after you: what was done, what was implanted or used, what the surgeon expects over the next twelve weeks, what to watch for, what would count as a warning sign, and who to contact if one appears.
We build it before you fly home, while the surgical team is still in front of us and still remembers your case.
Scheduled contact with your operating surgeon
Video calls arranged across ninety days with the surgeon who operated on you, not a call centre and not a different doctor reading your file for the first time.
Where your own doctor wants to speak to the surgeon directly, we set that up. Two clinicians talking to each other solves problems that neither of them can solve through you.
Medicines mapped to your own country
Drugs are sold under different brand names in different countries, and some are not available at all. A prescription written in India can be unfillable in Ottawa or Cork.
So we set out what you were given, what the equivalent is where you live, and where there is no equivalent. Your own doctor or pharmacist makes every prescribing decision. We supply the information they need to make it.
A named person you can reach
One human being, whose name you know, reachable on WhatsApp for ninety days. Not a ticket queue and not a shared inbox.
If something worries you, they help you work out who you need to speak to and get hold of them. If it is urgent, the answer will be your local emergency services, and we’ll say so immediately.
Where the line is
What we do, and what we absolutely don't do.
This distinction isn't legal decoration. It's how the service is designed, and it protects you as much as it protects us.
We do
- Coordinate care and move information between the people treating you
- Prepare written handovers and chase missing records
- Arrange calls between you, your surgeon and your own doctor
- Explain what clinicians have said, in plain language
- Help you work out who to contact, and when
We don’t
- Diagnose anything
- Prescribe or change any medication
- Provide treatment, nursing or physiotherapy
- Monitor your condition or manage your recovery
- Replace your doctor, or accept clinical responsibility for your care
- Provide emergency or out of hours medical cover
How it is priced
Included, not sold to you later.
The ninety days are built into full case management. There’s no aftercare add-on to buy, no monthly plan to sign up for, and no upsell at the point where you’re most worried.
We’re deliberate about this. Before surgery, people are optimistic and focused on price, so almost nobody buys protection they hope not to need. Afterwards, when they want it badly, the money is already spent. Selling it as an extra would mean selling it at the exact moment it is hardest to say no. So we include it.
After the ninety days, if you want us to carry on, we’ll talk about it then, once you have seen whether it was worth anything.
Questions
What people ask about the ninety days.
Does this mean you're looking after me medically?
No, and this matters. Your own doctor is looking after you. We coordinate information between the people who are qualified to treat you, and we make sure nothing gets lost between countries. We do not diagnose, prescribe or treat.
What if my doctor at home still refuses to get involved?
We can’t force any clinician to accept your care and we will not pretend otherwise. What we can do is remove the usual reasons for refusal, which are missing records, unclear surgical detail and no way to reach the operating team. If your doctor still declines, we’ll help you find out what your options are locally.
What happens if there is a complication?
For anything urgent, your local emergency services come first, always. Beyond that, we have an escalation path agreed before you travel: who is contacted, in what order, and what information they get. Your named contact helps you work through it and makes sure your surgeon and your local doctor are both in the loop.
Ninety days sounds arbitrary. Why that long?
It covers the period where most post-operative problems appear and where the handover to your own doctor is either completed or quietly fails. For some procedures the meaningful recovery window is longer, and we’ll say so rather than pretend ninety days is a clinical boundary.
Can I buy just the aftercare, without using you for the treatment?
Not at the moment. The handover is only useful if we were involved before and during your treatment, because that is when the information can still be captured. Building a handover from documents alone, months later, would be selling you something weaker than it sounds.
If you're already home and stuck, start here.
A free twenty minute conversation, whether you’re planning treatment or trying to sort out something that has already happened.