Questions

The questions we get asked most.

Grouped by what’s really being asked. Where the honest answer is that we don’t know or can’t promise, that is what it says.

Trust and independence

Can I believe what you tell me?

Who pays you?

You do, and only you. No hospital, surgeon, clinic, airline, hotel or insurer pays us anything in any form. We take no commission, referral fee, rebate or marketing payment.

See the whole commercial structure

Why should I pay when other companies help me free?

Their service isn’t free, it is paid for by the hospital you end up at. That’s a normal industry arrangement rather than a scandal, but it means the company advising you which hospital to choose is paid by the hospitals it is choosing between, and earns nothing if the right answer is that you should not travel.

Are you the only independent company doing this?

We don’t know, and we’re not going to claim it. Commission is the dominant model in this market but it isn’t the only one, and we haven’t audited anyone else. What we can tell you is exactly how our own structure works, which is more useful than a claim about everybody else.

Your medical director is a co-founder. Is that not a conflict?

It would be, if she wrote your opinion. She doesn’t. Independent external specialists write it, and they are paid a flat fee that is the same whatever they conclude. Her job is to frame the clinical question and then explain their findings to you. We disclose this rather than hoping you don’t notice.

The medical question

Do I even need this treatment?

Will you tell me if I don't need surgery?

Yes, in writing. It happens, and when it does you have saved yourself an operation, a long flight and a lot of money for a few hundred dollars. We earn nothing further from you in that case, and that outcome is budgeted for rather than avoided.

Is this a diagnosis?

No. It’s an independent review of your records by qualified specialists, provided as information for you and your own treating doctor. We do not diagnose, prescribe or treat. Your own doctor remains responsible for your care throughout.

Read the medical disclaimer

What if the specialists disagree with each other?

Then you see the disagreement. We don’t average opinions into one comfortable answer. Real clinical uncertainty is information you need in order to decide, and hiding it would make the document more reassuring and less useful.

Can you review my case without any records?

No. Without records there is nothing for a specialist to review, and an opinion based on a conversation alone would be worthless. If you can’t get your records, tell us in the first call and we’ll help you work out how.

Safety

Is treatment in India safe?

How do I know the hospital is any good?

You can check accreditation, the surgeon’s registration, their subspecialty training and their procedure volume. You can’t check risk-adjusted outcomes, because almost nowhere in the world publishes surgeon-level outcome data you could compare. Anyone claiming to rank surgeons by quality is describing data that doesn’t exist publicly.

The eight checks you can make yourself

What if there is a complication while I am in India?

Clinical management is the hospital and surgeon’s responsibility. Our job is to make sure you understand what’s happening, your family is informed, decisions aren’t taken around you, and everything is documented for your doctor at home. We agree the escalation path before you travel, including who pays for what.

What if a specialist recommends surgery just to win the operation?

It is the right question to ask, and paying them the same either way does not answer it on its own. So we take the possibility away instead. The specialist who reviews your case cannot be the surgeon who operates on it, and their hospital is not where the treatment happens. Nobody writing an opinion for you has anything to gain from the answer being surgery.

They also write separately and never see each other’s conclusions. If they disagree, we pay for a further opinion rather than passing that cost to you, because a disagreement is exactly when another view is worth the most.

Can you guarantee the surgery will work?

No. Nobody can, anywhere, and any company that implies otherwise is telling you something untrue. Surgery carries risk regardless of country or surgeon.

Coming home

What happens after I get back?

Will my own doctor take over my care?

We can’t promise that, and we will not. What we can do is remove the usual reasons for a refusal, which are missing records, unclear surgical detail and no way to reach the operating team. Your doctor’s reluctance is usually a reasonable response to being handed incomplete information and open-ended liability, not obstruction.

How the handover works

Do you look after me medically for the ninety days?

No. We coordinate information between the people qualified to treat you. That means a written handover your doctor can use, scheduled calls with your operating surgeon, medicines mapped to what your country stocks, and a named person to reach. Your own doctor is your treating doctor.

What if I need help urgently after I am home?

Contact your local emergency services or go to your nearest emergency department. Do not message us first. We’re a coordination service, not an emergency service.

Is the aftercare an extra cost?

No. Ninety days is included in full case management. We don’t sell it separately, because selling protection to someone who has just had surgery abroad would mean selling it at the moment it is hardest to refuse.

Money

What will this cost me?

What do you charge?

$349 to $499 for an independent second opinion. $2,500 to $3,500 for full case management, with ninety days of care coordination included. Both are indicative ranges, and you get a firm figure in writing before you pay anything.

What will the treatment itself cost?

We can’t tell you honestly until a hospital has reviewed your records and quoted your named case. Any number before that is a guess, and a guess presented as a price is how people end up with unexpected bills. Every figure we show you is labelled as either an estimate or a written quote.

See the full cost structure

Do you handle my treatment payment?

No. You pay the hospital directly. We never hold your treatment money and never mark it up. You pay us only our own fee, which appears as its own line and is never buried inside a package price.

Can I get a refund if I change my mind?

Our cancellation and refund terms are being drafted with a lawyer and will be published before we take any payment. We’re not going to put approximate terms on a page and hope they hold. If you’re considering buying now, ask us and we’ll tell you exactly where that stands.

Practical

Working with us.

Which countries do you work with?

Canada, the United Kingdom and Ireland to begin with. We’re starting narrow on purpose, because a country page or a market we don’t understand is worse than not covering it. If you’re elsewhere, ask us and we’ll tell you honestly whether we can help.

Which treatments do you cover?

Complex and revision orthopaedic surgery, spinal surgery and cardiac surgery. We do not cover dental or cosmetic treatment, and we don’t take on straightforward joint replacement for the general market because closer countries usually make more sense for it.

How do I send you my medical records?

Through a dedicated secure transfer service, after we have spoken. Never by email, never by WhatsApp, and never through this website. There’s no upload form anywhere on this site.

How long does the whole thing take?

The written second opinion usually takes about five working days from the point we have your records, though it depends on your case. An urgent situation can move faster. Records a hospital is slow to release can add time, and that is the most common delay. If you go ahead with treatment, arranging travel usually takes two to six weeks, mostly depending on visa processing and surgeon availability.

What language will everything be in?

English. Medical education in India is in English, so records, discharge summaries and correspondence are written in English. That matters more than it sounds when your own doctor needs to read them.

If your question isn't here, ask it directly.

A free twenty minute conversation, with no obligation to buy anything.