The written independent opinion
Two or three named specialists, their reasoning, where they agree and where they do not, and a clear recommendation including do not travel.
If you decide to go ahead
One named person owns the whole thing.
From choosing the surgeon to the handover with your own doctor ninety days after you get home. You should not have to project manage your own operation from another continent.
We select the surgeon and hospital for your specific case, negotiate the net price on your behalf, arrange the entire journey, put a person with you in India, and coordinate your care for ninety days after you return home.
$2,500 to $3,500, flat and indicative, shown as its own line in your total and never buried in a package price. The ninety days are included, not an add-on.
How it works
Three phases. The third is the one nobody else does.
Before India
Getting the decision right, then the price right
Everything in the independent second opinion. Then surgeon and hospital selection for your specific case, on clinical grounds. We negotiate the net price with no commission built in for us, and work out the full journey cost before you commit to anything.
Visa documentation, flights, accommodation near the hospital, and a plan for a companion if you have one.
During India
Someone is with you, and someone is accountable
Airport pickup, admission, and a person physically present for the appointments that matter. Not a phone number in another city.
Your named coordinator tracks what is happening, chases what has not happened, and tells you what is coming next. If costs change, you hear it from us immediately and in writing, not from a bill at discharge.
After you return home
Ninety days of care coordination
A handover pack written for your own doctor, built before you fly while the surgical team still remembers your case. Scheduled calls with your operating surgeon. Medicines mapped to what your country stocks. A named human on WhatsApp.
What the fee actually buys
Twenty nine things have to happen. We carry 24 of them.
This is the honest answer to what you are paying for. Not a service description, the actual task list from a complex case. Read the ones marked you, and ask whether you want to be doing them from another country.
| What has to happen | Who does it |
|---|---|
| Work out whether you need the treatment at all | We do this |
| Obtain and organise your medical records | Together |
| Frame the clinical question for the specialists | We do this |
| Commission and pay two or three independent opinions | We do this |
| Explain what the specialists concluded, in plain language | We do this |
| Identify surgeons by volume in your specific procedure | We do this |
| Verify accreditation and registration independently | We do this |
| Get the named surgeon confirmed in writing | We do this |
| Negotiate a net price with no commission built in | We do this |
| Get the implant or device named in writing | We do this |
| Get the written exclusion list, not the inclusion list | We do this |
| Agree in writing what happens if the surgery proves more complex | We do this |
| Model the full journey cost including recovery contingency | We do this |
| Confirm fitness to fly with your own doctor | Together |
| Check whether your insurance covers planned treatment abroad | Together |
| Medical visa documentation, for you and a companion | We do this |
| Book flights with a movable return | You do this |
| Accommodation near the hospital, before and after discharge | We do this |
| Airport transfer and ground transport throughout | We do this |
| Be physically present at admission and key appointments | We do this |
| Interpretation where language is a barrier | We do this |
| Keep your family informed while you are in theatre | We do this |
| Chase and check every discharge document before you leave | We do this |
| Build the handover pack for your own doctor | We do this |
| Map your medicines to what your country stocks | We do this |
| Agree who manages your follow-up at home, before you fly | Together |
| Schedule follow-up calls with the operating surgeon | We do this |
| Set up clinician to clinician contact where your doctor wants it | We do this |
| Hold the escalation path for ninety days | We do this |
What you end up holding
Six documents, and one of them matters more than the rest.
Coordination is a service, which makes it hard to see. These are the artefacts it produces, and they outlast us.
The full journey cost model
Every line you will pay, each marked estimate or written quote, with a recovery contingency built in rather than hoped away.
The written hospital agreement
Net price, named surgeon, named implant, the exclusion list, and an agreed position on what happens if the case proves more complex.
The handover pack
Written for your own doctor. What was done, what was used, the recovery plan, the warning signs, and who to contact. Built before you fly, while the team still remembers your case.
The medicines reconciliation
What you were given, the equivalent where you live, and where there is no equivalent. For your own doctor and pharmacist to act on.
The escalation plan
Agreed before you travel. Who is contacted, in what order, with what information, and what counts as urgent enough to bypass us entirely.
The handover pack is the one that matters most, and it is the one that cannot be reconstructed afterwards. Nobody can build it from documents six months later, because the surgical team will have moved on to several hundred other patients.
The part you are really buying
What happens when something does not go to plan.
Coordination is invisible when everything works. Here is what it looks like when it does not, which is when people discover whether they had any.
The surgeon finds something different in theatre
Common in revision and complex cases. Because we agreed a written position on this before you travelled, the cost consequence is already settled rather than negotiated while you are sedated. Your family hears from us, not from a bill.
Recovery takes longer than planned
We hold the per-night cost beyond the package in writing, so nobody is inventing a number. We move your accommodation and work with the airline on your return, which is why we ask you to book a movable ticket in the first place.
Your doctor at home will not take over
Usually about liability and missing information rather than unwillingness. We remove the practical reasons: complete operative detail, named implant, a rehabilitation protocol, and the operating surgeon reachable for a clinician to clinician conversation. We cannot force anyone, and we will not pretend we can.
Something worries you at week six, at home
If it is urgent the answer is your local emergency service, immediately, and we will say that before anything else. Otherwise your named contact helps you work out who needs to see you, gets your surgeon into the conversation, and makes sure your own doctor has the operative detail rather than a discharge summary they cannot interpret.
Scope
What the fee covers, and what it does not.
The second list matters more than the first. Almost every dispute in this industry comes from something a patient assumed was included.
Included in our fee
- The full independent second opinion, including the specialists’ fees
- Surgeon and hospital selection for your case
- Net price negotiation on your behalf
- Full journey cost modelling, updated as things firm up
- Visa documentation support and travel coordination
- Accommodation and ground transport arranged
- A person with you in India for key appointments
- A named coordinator throughout
- Discharge document collection and review
- The handover pack for your own doctor
- Ninety days of care coordination after you return
- Interpretation support where language is a barrier
Not included, and paid by you directly
- Your treatment itself. You pay the hospital directly. We never handle your treatment money and never mark it up
- Flights, accommodation and visa fees, which are yours at cost
- Travel or medical insurance, which we strongly recommend you buy
- Any treatment or complication cost arising after you return home
- Physiotherapy or rehabilitation in your own country
- Emergency medical care anywhere
- Costs arising from a decision taken against the recommendation you were given
Who this is for
Complex cases, where the saving is big enough to justify the journey.
We take on complex and revision orthopaedic surgery, spinal surgery and cardiac surgery, and we look at oncology, transplant and neurosurgery case by case. These are cases where the absolute saving is measured in tens of thousands, the expertise is scarce, and the recovery is long enough that our ninety days matters.
We do not take on straightforward joint replacement for the general market. If you live in Toronto, Mexico is four hours away. If you live in London, Poland is three. We are not going to pretend India wins that comparison on a two thousand dollar difference when you have to fly ten hours on a fresh joint.
We do not do dental or cosmetic work at all.
Why we turn work away
A company that takes every case has to say yes to every case. We would rather be narrow and good at something than wide and average at everything.
It also means that when we tell you India is the right answer for your case, the statement carries some weight, because there are plenty of cases where we say it is not.
Questions
What people ask about case management.
Why is your fee separate instead of included in one package price?
Because a single package price hides which part of your money is going where. If our fee were inside the total, you could not tell whether the hospital charge had been inflated to cover it. Showing it separately is less comfortable for us and much more useful to you.
Is the fee worth it on top of everything else I am paying?
That is the right question and you should press us on it. Our answer is the task list above. Look at the items marked we do this and decide how many you would want to handle yourself, in a country you do not know, in a system you cannot read, while recovering from surgery.
The clearest case where it pays for itself many times over is the one where the independent opinion concludes you should not have the operation at all.
Do you get a better hospital price because you send them patients?
We ask for a net price on the basis that we take no commission, which means there is no margin built in for us to be paid from. Whether that produces a better number than you could negotiate alone depends on the hospital and the case, and we are not going to claim a fixed saving we cannot evidence.
Who exactly is my named coordinator?
In the early cases, one of the two founders. We are not going to invent a support team we do not have. As we grow, it becomes a trained care coordinator, and you will be told who by name before you commit to anything.
Are you liable if the surgery does not work?
No, and no coordination company can honestly claim otherwise. The clinical outcome is between you and the treating clinicians. We are accountable for the quality of the coordination, the honesty of the advice and the completeness of the information, and we carry professional indemnity cover for our own work.
Can I start with just the second opinion?
Yes, and most people should. Buy the opinion, read it, decide afterwards. If you then want full case management, what you already paid for the opinion is credited against it, so you are not paying twice for the same work.
Most people should start with the second opinion.
A free twenty minute conversation first. Nobody should commit to case management before they know whether they need the treatment at all.