Treatments

Find your treatment, and an honest view on it.

India’s large accredited hospitals cover close to the full range of tertiary care. That does not mean travelling makes sense for all of it. We are selective, and this page shows exactly where the line sits.

We arrange independent specialist review and full coordination for complex and high value surgery, where the saving is large enough to justify the journey and the expertise is scarce enough that choosing the right surgeon changes the outcome.

We do not employ doctors and we do not run a hospital. We coordinate access to accredited hospitals and independent specialists, and we are paid only by you.

Where we focus

Three areas we lead with, and many more we can reach.

These have three things in common. The absolute saving is measured in tens of thousands, the expertise is genuinely scarce, and recovery runs long enough that our ninety days matters.

Complex and revision orthopaedics

Revision hip and knee surgery, failed joint replacements, complex primary cases and periprosthetic problems. Where a first replacement has not worked and someone is now offering to do it again.

Read the full page on revision surgery

Spinal surgery

Decompression, fusion, deformity correction and revision spinal surgery. One of the areas where a second opinion most often changes the plan, because the link between what a scan shows and what a person feels is rarely simple.

Read the full page on spinal surgery

Cardiac surgery

Bypass surgery, valve repair and replacement, and complex or redo cardiac procedures. Volume matters here more than almost anywhere, and the cost difference is large enough that a long flight can be the rational choice.

Read the full page on cardiac surgery

Find your treatment

Every area we can arrange an independent opinion in.

Find your condition, and you will know in one glance whether this is something we can put in front of the right specialist. Listing an area here means we can reach specialists who work in it. It does not mean travelling for it is the right call, and for several of these we would usually tell you to stay where you are.

Orthopaedics and joints

Full page
  • Revision hip replacement
  • Revision knee replacement
  • Complex primary joint replacement
  • Robotic and computer assisted joint replacement
  • Failed or painful joint replacement
  • Periprosthetic fracture
  • Shoulder and elbow replacement
  • Limb deformity correction and limb salvage
  • Complex sports and ligament reconstruction

Read the full page

Spine

Full page
  • Decompression and laminectomy
  • Spinal fusion
  • Minimally invasive spine surgery
  • Disc replacement
  • Scoliosis and deformity correction
  • Revision spinal surgery
  • Spinal stenosis
  • Spinal tumour surgery
  • Persistent pain after previous spinal surgery

Read the full page

Cardiac

Full page
  • Coronary artery bypass grafting
  • Redo bypass surgery
  • Valve repair and replacement
  • Transcatheter valve procedures, including TAVI
  • Minimally invasive cardiac surgery
  • Combined bypass and valve procedures
  • Aortic aneurysm and complex aortic surgery
  • Adult congenital heart surgery
  • Bypass or stenting, a second opinion on the choice

Read the full page

Heart rhythm

On request

Arranged on request. Worth an opinion before any device is fitted, because the choice of device is rarely as settled as it sounds.

  • Catheter ablation for atrial fibrillation
  • Electrophysiology study and 3D mapping guided ablation
  • Pacemaker and defibrillator implantation
  • Cardiac resynchronisation therapy
  • Whether a device is needed yet

Ask us in the free first conversation

Cancer care

Full page
  • Diagnosis and staging review
  • Pathology second opinion
  • Treatment plan review before starting
  • Surgical oncology opinion, by tumour site
  • Robotic and minimally invasive cancer surgery
  • Radiotherapy planning, including SBRT and brachytherapy
  • Chemotherapy and radiotherapy sequencing
  • Molecular and genomic profiling
  • An opinion on a recurrence

Read the full page

Blood disorders and bone marrow transplant

On request

A matched donor has to exist before the rest is worth planning, so that is the first thing we establish.

  • Leukaemia, lymphoma and myeloma
  • Autologous stem cell transplant
  • Allogeneic bone marrow transplant
  • Thalassaemia and sickle cell disease
  • Aplastic anaemia
  • Donor matching and eligibility
  • Paediatric bone marrow transplant

Ask us in the free first conversation

Transplant

Full page
  • Kidney transplant, living and deceased donor
  • Liver transplant, including living donor
  • Heart and lung transplant
  • Donor eligibility and workup
  • Whether transplant now is the right call
  • Post-transplant management planning

Read the full page

Neurosurgery and neurology

Full page
  • Brain tumour, including whether to operate or monitor
  • Pituitary and skull base surgery
  • Aneurysm and vascular malformation
  • Hydrocephalus and shunt revision
  • Epilepsy surgery assessment
  • Deep brain stimulation for movement disorders
  • Trigeminal neuralgia
  • Peripheral nerve surgery

Read the full page

IVF and fertility

Full page
  • IVF, ICSI and IUI
  • A second opinion on your real odds
  • Recurrent implantation failure
  • Preimplantation genetic testing
  • Surgical sperm retrieval and male fertility
  • Fertility preservation
  • Eligibility for international patients

Read the full page

Women’s health and gynaecology

On request

Arranged on request. Fertility has its own page above.

  • Fibroids and endometriosis
  • Laparoscopic and hysteroscopic surgery
  • Hysterectomy, and whether it is needed
  • Gynaecological cancer surgery
  • Prolapse and pelvic floor repair
  • Heavy or irregular bleeding

Ask us in the free first conversation

Urology and kidney

On request

Arranged on request.

  • Prostate surgery, including robotic
  • Kidney and bladder cancer surgery
  • Complex kidney stone disease and RIRS
  • Reconstructive urology
  • Advanced kidney disease planning
  • Dialysis planning before and after travel

Ask us in the free first conversation

Digestive and liver surgery

On request

Arranged on request.

  • Liver resection
  • Pancreatic surgery
  • Complex biliary and gallbladder surgery
  • Colorectal cancer surgery
  • Complex or recurrent hernia repair
  • Advanced endoscopy, ERCP and EUS
  • Revision surgery after previous abdominal operations

Ask us in the free first conversation

Weight loss and metabolic surgery

On request

The operation is the short part. Aftercare runs for years, so we want your own doctor involved from the first conversation.

  • Gastric sleeve
  • Gastric bypass
  • Revision bariatric surgery
  • Whether surgery is the right step yet
  • Long term follow up planning

Ask us in the free first conversation

Lung and chest

On request

Arranged on request.

  • Lung cancer surgery
  • Thoracic and chest wall surgery
  • Interventional bronchoscopy
  • Interstitial lung disease, a second opinion
  • Lung transplant assessment

Ask us in the free first conversation

Children’s care

On request

A parent or guardian travels with the child and consents throughout. Congenital heart surgery is the area where families most often gain from a specialist opinion.

  • Congenital heart disease and paediatric cardiac surgery
  • Paediatric neurosurgery
  • Paediatric cancer care
  • Paediatric kidney disease and transplant
  • Paediatric orthopaedics
  • A second opinion on a paediatric diagnosis

Ask us in the free first conversation

Vascular

On request

Arranged on request.

  • Aortic aneurysm repair, open and endovascular
  • Peripheral arterial disease
  • Carotid artery surgery
  • Diabetic foot and limb salvage
  • Complex varicose vein disease

Ask us in the free first conversation

Endocrine and diabetes

On request

Arranged on request. Much of this is managed better at home, and we will tell you when that is the case.

  • Thyroid and parathyroid surgery
  • Adrenal and pituitary disorders
  • Complex diabetes management planning
  • A second opinion before endocrine surgery

Ask us in the free first conversation

Reconstructive surgery

On request

Reconstruction after cancer, burns or injury. We do not arrange cosmetic or aesthetic procedures.

  • Breast reconstruction after cancer
  • Head and neck reconstruction
  • Microvascular free flap reconstruction
  • Burns and post-injury reconstruction
  • Complex wound and scar reconstruction

Ask us in the free first conversation

Eye

On request

Complex cases only. Routine cataract surgery is not worth a long flight and we will say so.

  • Complex retinal surgery
  • Corneal transplant
  • Glaucoma surgery
  • A second opinion before eye surgery

Ask us in the free first conversation

Ear, nose and throat, head and neck

On request

Arranged on request.

  • Cochlear implant
  • Head and neck cancer surgery
  • Complex sinus and skull base surgery
  • Airway reconstruction
  • Thyroid and salivary gland surgery

Ask us in the free first conversation

If your situation is not on this list, ask anyway. Sometimes the answer is that we are not the right people for it, and you will hear that in the first free conversation rather than after you have paid us.

What we turn away

Things we will not take on, and why.

A company that says yes to everything has to say yes to everything. This list is the reason our yes is worth something.

We do not do these at all

  • Dental and cosmetic work. Other countries own that market, margins are thin, and the trust problem we exist to solve barely applies.
  • Anything urgent or emergency. Time matters more than cost or quality. Go to your local emergency service.
  • Weight loss surgery as a standalone. Commoditised, heavily marketed elsewhere, and the aftercare need is poorly served by a one off trip.

We will usually advise against these

  • Straightforward first time hip or knee replacement. If you are in Canada, Mexico is four hours away. From the UK or Ireland, Poland is closer still. India does not win that comparison on a modest difference.
  • Routine procedures generally. Once flights, accommodation, a companion and recovery time are added, the saving often stops being worth the journey.
  • Anything needing frequent in-person adjustment. If you would have to keep flying back, the model does not work for you.
  • Cases where your own doctor says you are not fit to fly. That opinion should win, and we will not argue with it.

How far we reach

Wherever the right surgeon for your case actually is.

India's best surgical centres are spread across the country, and we work with them wherever they are. Your case goes to the specialist whose record fits your problem, and the question of how far that is comes second.

Specialists are chosen on two things. How many of your specific procedure they perform in a year, and whether their subspecialty genuinely matches your problem. Distance is not one of them, and neither is who pays us, because nobody does.

India’s tertiary care sits in a number of very high volume centres spread across the country. Some hold JCI accreditation, most hold NABH. The centre that is strongest for a knee is rarely the one that is strongest for a liver, so we start from your condition and work outwards, never from a list of hospitals we happen to know.

Being in India is worth more than it sounds. When we ask a hospital for a net price with no commission built into it, or ask to see the discharge and handover protocol they are already assessed against, we can walk into the international patient department and ask in person.

A company doing this from another continent, emailing a hospital it has never visited, is doing something much weaker than it looks. Ours is the same conversation, held face to face, in a country whose hospital system we work in every week.

Not sure whether your case is one we can help with?

Twenty minutes, free. If we are not the right people for your situation, that is what you will hear.